Individual
MR. MICHAEL THOMAS MACKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6292 S 27TH ST, MILWAUKEE, WI 53221-4839
(414) 761-0994
(414) 761-1796
Mailing address
6292 S 27TH ST, MILWAUKEE, WI 53221-4839
(414) 761-0994
(414) 761-1796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11245-040
WI
183500000X
Pharmacist
S010070
AZ
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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