WAYNE HUSTAD

CUDAHY, WI
NPI1346524048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  8817-40)
Enumeration Date2011-09-29
Last Update Date2011-09-29
Business Address
-- WAYNE HUSTAD R.Ph.
6241 S PACKARD AVE
CUDAHY, WI 53110-3031
Phone number: 414-762-9717
Mailing Address
-- WAYNE HUSTAD R.Ph.
10320 W SAINT MARTINS RD
FRANKLIN, WI 53132-2420
Phone number: 414-202-1760