Matthew Eugene Bantz, PHARMD Valid NPI
Individual provider · Pharmacist · Milwaukee, WI
- NPI
- 1578193744
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 16320 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-01-16
- Last updated
- 2020-01-18
Practice location
6901 W Edgerton Ave
Milwaukee, WI 53220-4420
(414) 421-8401