NPI 1003404682

Mitchell Groth, PHARMD

Practitioner Pharmacist Menomonee Falls, WI

Practice location

Address: N85w15882 Appleton Ave, Menomonee Falls, WI 53051-3082
Phone: (262) 437-0031
Mailing address: 161 N Story Pkwy, Milwaukee, WI 53208-3618

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 19925 (WI)

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Registry record

NPI: 1003404682
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2021
Record last updated: 8 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.