Individual
SERIF ODOBASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1041 W MAIN ST, WHITEWATER, WI 53190-1616
(262) 472-0238
(262) 472-0294
Mailing address
1041 W MAIN ST, WHITEWATER, WI 53190-1616
(262) 472-0238
(262) 472-0294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19951
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19951
PHARMACY EXAMINING BOARD
WI
Enumeration date
02/26/2020
Last updated
02/26/2020
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