Individual
MR. ROBERT EDMUND MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1771 WISCONSIN AVE, GRAFTON, WI 53024-2437
(262) 375-0016
Mailing address
1771 WISCONSIN AVE, GRAFTON, WI 53024-2437
(262) 375-0016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10888-40
WI
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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