Individual
KIMBERLY R HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWUAKEE, WI 53226
(414) 805-6575
(414) 805-6073
Mailing address
1925 N WATER ST APT 104, MILWAUKEE, WI 53202-1584
(414) 517-7435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14431-040
WI
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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