Individual
GINA SMOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7707 94TH AVE, PLEASANT PRAIRIE, WI 53158-1955
(262) 597-1037
Mailing address
7707 94TH AVE, PLEASANT PRAIRIE, WI 53158-1955
(262) 597-1037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.295305
IL
183500000X
Pharmacist
Primary
17850-40
WI
Other
Enumeration date
09/05/2011
Last updated
11/27/2020
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