Prell, Corey James

Prell, Corey James is an individual health care provider with primary practice located at 7520 W Bluemound Rd , Wauwatosa WI 53213-3546. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Prell, Corey James can be contacted via phone (414) 771-9146.

Contact Information

Primary practice address
7520 W Bluemound Rd Wauwatosa WI 53213-3546
Phone: (414) 771-9146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12637040 Wisconsin

Profile Details

NPI number 1467565945
LBN Legal business name Prell, Corey James
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Dec 16th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467565945 NPPES
Wisconsin MEDICAID 33048400

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