LOUISE A BORST

KENOSHA, WI
NPI1396147625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  12571-040)
Enumeration Date2014-09-18
Last Update Date2014-09-18
Business Address
Mrs. LOUISE A BORST RPH CGP
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5680
Mailing Address
Mrs. LOUISE A BORST RPH CGP
12039 231ST AVE
TREVOR, WI 53179-9439
Phone number: 262-862-2998