Individual
BROOKE LYNN BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5000 W NATIONAL AVE, PHARMACY SERVICES, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1029 N JACKSON ST, APT 605A, MILWAUKEE, WI 53202-3260
(608) 206-3978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14901-40
WI
183500000X
Pharmacist
PH00069399
WA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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