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1720647019
MOATH M SARSOUR
MILWAUKEE, WI
NPI
1720647019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 1856740)
Enumeration Date
2019-06-10
Last Update Date
2021-02-11
Business Address
Dr. MOATH M SARSOUR Pharmacist
1672 S 9TH ST UNIT D
MILWAUKEE, WI 53204-3426
Phone number: 414-326-0888
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Mailing Address
Dr. MOATH M SARSOUR Pharmacist
1521 W EDGERTON AVE UNIT B
MILWAUKEE, WI 53221-3561
Phone number: 414-326-0888
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