Individual
JAMAL HAIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5185 S 9TH ST, MILWAUKEE, WI 53221-3627
(414) 486-3100
Mailing address
5185 S 9TH ST, MILWAUKEE, WI 53221-3627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123129
MN
183500000X
Pharmacist
20222
WI
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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