BRIAN D DOMACK

MILWAUKEE, WI
NPI1588958607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  15510-40)
Enumeration Date2011-06-06
Last Update Date2014-05-14
Business Address
Dr. BRIAN D DOMACK PharmD
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1068
Mailing Address
Dr. BRIAN D DOMACK PharmD
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1068