Individual
SUSAN L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
875 KURTIS DR, ELM GROVE, WI 53122-2116
(414) 737-4406
Mailing address
875 KURTIS DR, ELM GROVE, WI 53122-2116
(414) 737-4406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12284-40
WI
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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