EDWARD CLAY
Pharmacy at 63 St, Kenosha, WI

License number
Wisconsin 13857-40
Category
Pharmacy
Type
Pharmacist
Address
Address
1901 63Rd St, Kenosha, WI 53143
Phone
(262) 653-1202
(262) 564-8840 (Fax)
National Provider ID: 1841696044
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Edward Clay, age 68
5175 N Hopkins St APT 110, Milwaukee, WI 53209
(414) 379-0594

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