Individual
SARAH KOLDEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4310 67TH DR, UNION GROVE, WI 53182-9338
(262) 878-1171
Mailing address
4310 67TH DR, UNION GROVE, WI 53182-9338
(262) 878-1171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17816-40
WI
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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