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Organization

H1 MKE LLC

Active
Other names
HEALTH ONE MILWAUKEE
Organization subpart
No

Provider details

NPI number
Authorized official
ROB OLSON (PIC)
(262) 993-5682
Entity
Organization

Contact information

Practice address
9077 N DEERBROOK TRAIL, BROWN DEER, WI 53223
(414) 586-0845
(414) 586-0852
Mailing address
9077 N DEERBROOK TRAIL, BROWN DEER, WI 53223

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8707042
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5129766
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
01/30/2007
Last updated
12/19/2007
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