Most Relevant Information
Provider Data
| NPI Number: | 1003549064 |
| Provider Name: | MITCHELL ROBAK PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 21136-40 |
Most Important Dates
| Enumeration Date: | 07/07/2022 |
| Last Updated: | 07/07/2022 |
Provider Practice Location
2207 80TH ST
KENOSHA
WI
531435756
Practice Location Phone/Fax
| Phone: | 2626583731 |
| Fax: |
Provider Mailing Location
2207 80TH ST
KENOSHA
WI
531435756
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |