Individual
COREY ANDREW BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3522 W WISCONSIN AVE, MILWAUKEE, WI 53208-3846
(414) 342-4446
Mailing address
8361 PORTLAND AVE UPPR UNIT, WAUWATOSA, WI 53213-3017
(915) 760-1930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20437-40
WI
Other
Enumeration date
08/05/2020
Last updated
08/12/2020
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