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SHANISE WALLACE

Pharmacist

NPI: 1114552445Individual

Specialties, Licenses & Credentials

PharmacistPrimary

Pharmacist

Code: 183500000X

17696-40(WI)
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Contact & Hours

Address
3710 57TH AVE
KENOSHA, WI 53144

Quick Facts

NPI
1114552445
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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