Individual
EMAN ALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 931-0000
Mailing address
4873 S 14TH ST APT 8, MILWAUKEE, WI 53221-2871
(414) 241-2047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17359-40
WI
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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