Individual
ROSEMARY GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 30TH AVE, KENOSHA, WI 53144-1437
(262) 551-8812
(262) 551-0783
Mailing address
8424 COOPER RD, KENOSHA, WI 53142-4826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13267-040
WI
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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