Marisol Avalos
Individual provider Active NPI Pharmacist · South Milwaukee, WI
NPI 1487561189 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1487561189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20822-40 (WI)
- Practice address
- 2985 S Chicago Ave
South Milwaukee, WI 53172-3133 - Phone
- (414) 762-9653
- NPI assigned
- Aug 26, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20822-40 | WI | Yes |
Addresses
Primary practice location
2985 S Chicago Ave
South Milwaukee, WI 53172-3133
Mailing address
8001 S 6TH St
Oak Creek, WI 53154-2390
Other providers in South Milwaukee, WI
- Ascension Medical Group - Southeast Wisconsin, Inc.
- Assisted Living Concepts Inc
- Athletico LTD
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc
- Emily Axt
- Marylisa Ayala
- Saja Badwan
- Tracie Barnes
- Mara Natalie Bergee
All providers in South Milwaukee, WI · Pharmacist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.