Mozaffar, Mariam

Mozaffar, Mariam is an sole proprietor health care provider with primary practice located at 1921 S Main St , West Bend WI 53095-5206. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mozaffar, Mariam can be contacted via phone (262) 338-1156.

Contact Information

Primary practice address
1921 S Main St West Bend WI 53095-5206
Phone: (262) 338-1156
Fax: (262) 338-2497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15755-040 Wisconsin

Profile Details

NPI number 1396012050
LBN Legal business name Mozaffar, Mariam
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2011
Last updated Nov 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers