Thomas Lee Leitzke RPH

NPI 1073870788 - Pharmacist - 183500000X

NPI Details
NPI 1073870788
Gender Male
Enumeration Date 04/19/2012
Last Updated 04/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9200 W WISCONSIN AVE
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-2690
Fax
Business Location
123 N 15TH AVE
WEST BEND WI, 53095-3022, US
Phone (262) 338-3537
Fax
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 9065-40
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According to our database, Mr. Thomas Lee Leitzke RPH NPI is 1073870788, taxonomy code is 183500000X and license number is 9065-40, license state is located at Wisconsin. Thomas Lee Leitzke RPH physically located at 9200 W Wisconsin Ave, Milwaukee WI, 53226-3522. NPI Number Thomas Lee Leitzke RPH has the Individual type.

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1073870788 NPI number is provided on an as is basis without warranty of any kind. 1073870788 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Lee Leitzke RPH are for informational purposes only.