NPI 1003449646

Kelly Bakic

Practitioner Pharmacist Menomonee Falls, WI

Practice location

Address: N56w15501 Silver Spring Dr, Menomonee Falls, WI 53051-5971
Phone: (262) 703-9781

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18799-40 (WI)

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Registry record

NPI: 1003449646
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2020
Record last updated: 21 Feb 2020

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.