Individual
ADAM LABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 CAPITOL DR, PEWAUKEE, WI 53072-2579
(262) 695-3088
Mailing address
1441 CAPITOL DR, PEWAUKEE, WI 53072-2579
(262) 695-3088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13679-040
WI
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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