SUZAN OTTO

PEWAUKEE, WI
NPI1528337011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  12290-040)
Enumeration Date2011-12-29
Last Update Date2011-12-29
Business Address
-- SUZAN OTTO RpH
1441 CAPITOL DR
PEWAUKEE, WI 53072-2579
Phone number: 262-695-3088
Mailing Address
-- SUZAN OTTO RpH
1441 CAPITOL DR
PEWAUKEE, WI 53072-2579
Phone number: 262-695-3088