Individual
SALEM ELFARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3855 S MOORLAND RD, NEW BERLIN, WI 53151-5225
(502) 715-0029
Mailing address
3855 S MOORLAND RD, NEW BERLIN, WI 53151-5225
(262) 784-4992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22938
WI
Other
Enumeration date
12/11/2024
Last updated
03/06/2025
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