Individual
BROCK KOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7410 98TH AVE UNIT F, KENOSHA, WI 53142-8326
(815) 236-1541
Mailing address
7410 98TH AVE UNIT F, KENOSHA, WI 53142-8326
(815) 236-1541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16211-40
WI
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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