Individual
MOEMEN M ELSHAARAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6300 W BROWN DEER RD, BROWN DEER, WI 53223-2233
(917) 698-7629
Mailing address
3900 W BROWN DEER RD STE 150, BROWN DEER, WI 53209-1220
(414) 424-3900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19223-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19223-40
WISCONSIN DSPS
WI
Enumeration date
12/28/2018
Last updated
09/12/2024
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