AMANDA COSTOPOULOS

MILWAUKEE, WI
NPI1093123440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  17543 - 40)
Enumeration Date2014-07-29
Last Update Date2014-07-29
Business Address
-- AMANDA COSTOPOULOS Pharm.D
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3666
Mailing Address
-- AMANDA COSTOPOULOS Pharm.D
1619 N FARWELL AVE APT 109
MILWAUKEE, WI 53202-1863
Phone number: