Selle, Mark Rudolph

Selle, Mark Rudolph is an sole proprietor health care provider with primary practice located at 5595 County Road Z Cedar Lake Campus Pharmacy, West Bend WI 53095-9224. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Selle, Mark Rudolph can be contacted via phone (262) 306-2140.

Contact Information

Primary practice address
5595 County Road Z Cedar Lake Campus Pharmacy West Bend WI 53095-9224
Phone: (262) 306-2140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9353-040 Wisconsin

Profile Details

NPI number 1144494238
LBN Legal business name Selle, Mark Rudolph
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2008
Last updated Oct 18th, 2012 - about 14 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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