Individual
MR. GEORGE EDWARD MACKINNON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, RPH
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-7476
Mailing address
8618 222ND CT, SALEM, WI 53168-9077
(262) 843-4847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11236
WI
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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