NPI 1013314848

Stephanie Roeder, PHARMD

Practitioner Pharmacist Wauwatosa, WI

Practice location

Address: 6950 W State St, Wauwatosa, WI 53213-2842
Phone: (414) 475-1932

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16449-40 (WI)

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Registry record

NPI: 1013314848
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2014
Record last updated: 21 Nov 2014

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.