Individual
JUSTIN DAHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6442 N 76TH ST, MILWAUKEE, WI 53223-6102
(414) 353-5620
Mailing address
650 N 99TH ST, WAUWATOSA, WI 53226-4312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15033-040
WI
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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