Individual
MARY TYLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3522 W WISCONSIN AVE, MILWAUKEE, WI 53208-3846
(414) 342-4446
Mailing address
5441 S 48TH ST, GREENFIELD, WI 53220-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14111
WI
Other
Enumeration date
07/07/2007
Last updated
07/08/2007
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