Individual
DR. BASIL YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
171 W TOWN SQUARE WAY, OAK CREEK, WI 53154-6801
(414) 501-1710
Mailing address
171 W TOWN SQUARE WAY, OAK CREEK, WI 53154-6801
(414) 501-1710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18916-40
WI
Other
Enumeration date
03/05/2020
Last updated
03/05/2024
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