Provider First Line Business Practice Location Address:
1555 S LAYTON BLVD
Provider Second Line Business Practice Location Address:
COMMUNITY CARE PHARMACY
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-902-2526
Provider Business Practice Location Address Fax Number:
414-274-8489
Provider Enumeration Date:
03/09/2007