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1912527318
BENJAMIN MODRELL
MILWAUKEE, WI
NPI
1912527318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 18899-40)
Enumeration Date
2020-04-26
Last Update Date
2020-04-26
Business Address
BENJAMIN MODRELL PharmD
3237 S 16TH ST
MILWAUKEE, WI 53215-4526
Phone number: 414-647-5043
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Mailing Address
BENJAMIN MODRELL PharmD
4727 162ND ST
URBANDALE, IA 50323-2542
Phone number:
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