Individual provider · Type 1 NPI

Colleen Kom

Pharmacist · Waterford, WI

NPI number 1407480809 Active

Practice location

900 E Main St
Waterford, WI 53185-4536

Call (262) 514-4290 Map

Mailing address

W230S8995 Clark St
Big Bend, WI 53103-9479

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X19135-40 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1407480809

Colleen Kom's National Provider Identifier is 1407480809, issued on Feb 25, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Waterford, WI. The record was last updated on Feb 25, 2020.