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Individual

SCOTT TRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
3023 S 84TH ST, WEST ALLIS, WI 53227-3703
(414) 607-4100
(414) 607-4502
Mailing address
3023 S 84TH ST, WEST ALLIS, WI 53227-3703
(414) 607-4100
(414) 607-4502

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10279
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10279
PHARMACY LICENSE
WI
Enumeration date
10/16/2006
Last updated
07/08/2007
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