EDWARD CLAY

KENOSHA, WI
NPI1841696044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  13857-40)
Enumeration Date2014-11-15
Last Update Date2014-11-15
Business Address
-- EDWARD CLAY
1901 63RD ST
KENOSHA, WI 53143-4467
Phone number: 262-653-1202
Mailing Address
-- EDWARD CLAY
1901 63RD ST
KENOSHA, WI 53143-4467
Phone number: 262-653-1202
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