ALONZO ORTIZ

MADISON, WI
NPI1437861200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  21512-40)
Additional Taxonomies183500000X Pharmacist
(Licence: IL  051.305298)
Enumeration Date2022-12-23
Last Update Date2023-06-06
Business Address
ALONZO ORTIZ
5702 RAYMOND RD
MADISON, WI 53711-4232
Phone number: 608-278-8037
Mailing Address
ALONZO ORTIZ
5702 RAYMOND RD
MADISON, WI 53711-4232
Phone number: 608-278-8037