Individual
DR. CORAL TANZEY BUCHAKLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7525 SHERIDAN RD, KENOSHA, WI 53143-1517
(262) 652-2396
Mailing address
312 BELMONT AVE, RACINE, WI 53405-2104
(262) 880-3514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2055640
WI
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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