Individual
BORIS KATICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 W FOREST HOME AVE, MILWAUKEE, WI 53215-2527
(414) 383-3414
Mailing address
2410 W FOREST HOME AVE, MILWAUKEE, WI 53215-2527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20004-40
WI
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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