NICHOLAS STACK

CUDAHY, WI
NPI1295108967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  10632-40)
Enumeration Date2015-11-03
Last Update Date2015-11-03
Business Address
NICHOLAS STACK B.S. IN PHARMACY
5851 S PACKARD AVE
CUDAHY, WI 53110-2615
Phone number: 414-744-6058
Mailing Address
NICHOLAS STACK B.S. IN PHARMACY
1618 S 115TH CT APT 211
WEST ALLIS, WI 53214-3785
Phone number: 414-774-6790
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