Individual
DENNIS THEODORE AMEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
725 S 95TH ST, WEST ALLIS, WI 53214-2721
(414) 476-0409
Mailing address
725 S 95TH ST, WEST ALLIS, WI 53214-2721
(414) 476-0409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8017-040
WI
Other
Enumeration date
05/14/2007
Last updated
02/23/2012
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