| Shanise Wallace, | |
|
3710 57th Ave, Kenosha, WI 53144-4820 | |
| (262) 652-1474 | |
| Not Available |
| Full Name | Shanise Wallace |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 3710 57th Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114552445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 17696-40 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shanise Wallace, 3710 57th Ave, Kenosha, WI 53144-4820 Ph: () - | Shanise Wallace, 3710 57th Ave, Kenosha, WI 53144-4820 Ph: (262) 652-1474 |
Mitchell Robak, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2207 80th St, Kenosha, WI 53143 Phone: 262-658-3731 | |
Dyson J Ahola, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3207 80th St # 100, Kenosha, WI 53142 Phone: 262-697-5744 Fax: 262-697-5749 | |
Carolyn Schiller, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3820 52nd St, Kenosha, WI 53144 Phone: 262-652-9665 Fax: 262-652-0896 | |
Daniel Lupi, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3805 80th St, Kenosha, WI 53142 Phone: 262-694-0750 | |
John Grossman, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2207 80th St, Kenosha, WI 53143 Phone: 262-658-3731 | |
Dr. Danielle T Kroll, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 9916 75th St Ste 103, Kenosha, WI 53142 Phone: 262-925-0201 Fax: 262-925-8373 | |
Daisy Nichols, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7701 Green Bay Rd, Kenosha, WI 53142 Phone: 262-612-1610 |