Individual
DR. JOSEPH KIZITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6442 N 76TH ST, MILWAUKEE, WI 53223-6102
(414) 353-5620
Mailing address
6098 W DARNEL AVE, BROWN DEER, WI 53223-3556
(414) 534-1432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14695-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14695-40
WISCONSIN BOARD OF PHARMACY LICENSE
WI
Enumeration date
11/10/2011
Last updated
11/10/2011
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