Individual
SAMANTHA RAE ISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-0594
Mailing address
10419 W ROHR AVE, MILWAUKEE, WI 53225-3235
(636) 627-8617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18850-40
WI
Other
Enumeration date
06/30/2017
Last updated
07/22/2021
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