Individual
LISA CANTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2323 N LAKE DR, PHARMACY DEPARTMENT, MILWAUKEE, WI 53211-4508
(414) 291-1068
(414) 291-1073
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1068
(414) 291-1073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10735
WI
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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