Most Relevant Information
Provider Data
| NPI Number: | 1003687799 |
| Provider Name: | ALYSSA MCKINNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 22483-40 |
Most Important Dates
| Enumeration Date: | 01/11/2024 |
| Last Updated: | 01/11/2024 |
Provider Practice Location
2275 N MAYFAIR RD
WAUWATOSA
WI
532262207
Practice Location Phone/Fax
| Phone: | 4147744821 |
| Fax: |
Provider Mailing Location
3819 N 54TH BLVD
MILWAUKEE
WI
532162205
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |