Organization
CCOURTLAND PROF. PHARMACY
Active
Other names
The Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GOLLIN (OWNER)
(414) 463-8550
Entity
Organization
Contact information
Practice address
8430 W CAPITOL DR, MILWAUKEE, WI 53222-1846
(414) 463-8550
(414) 463-0227
Mailing address
8430 W CAPITOL DR, MILWAUKEE, WI 53222-1846
(414) 463-8550
(414) 463-0227
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7480
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33144000
—
WI
Enumeration date
11/30/2006
Last updated
08/22/2020
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