Individual
ROY CLEMENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 W HOLT AVE, MILWAUKEE, WI 53207-3200
(414) 769-8990
Mailing address
250 W HOLT AVE, MILWAUKEE, WI 53207-3200
(414) 769-8990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12037-40
WI
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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