Individual
JULIE WANLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4810 WASHINGTON AVE, RACINE, WI 53406-4220
(262) 635-0181
Mailing address
4810 WASHINGTON AVE, RACINE, WI 53406-4220
(262) 635-0181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051286118
IL
183500000X
Pharmacist
Primary
15037-040
WI
183500000X
Pharmacist
PS0037236
FL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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