Individual
MR. JAMES ROBERT MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2720 S 163RD ST, NEW BERLIN, WI 53151-3610
(262) 780-1910
(262) 780-1914
Mailing address
1417 S 88TH ST, WEST ALLIS, WI 53214-4304
(608) 333-3423
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
56010710209704
WI
Other
Enumeration date
06/21/2013
Last updated
12/06/2018
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