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Nicholas Stack, BSINPHARMACY
Pharmacist in Cudahy, Wisconsin
NPI 1295108967

Nicholas Stack is a Pharmacist based in West Allis, WI. Nicholas Stack practices in Cudahy, WI and has the professional credentials of BSINPHARMACY. The NPI Number for Nicholas Stack is 1295108967 and holds a License No. 10632-40 (Wisconsin).

The current practice location address for Nicholas Stack is 5851 S Packard Ave, Cudahy, WI and can be reached out via phone at 414-744-6058.

Location: 5851 S Packard Ave, Cudahy, WI, 53214-3785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295108967
Provider Name
Nicholas Stack
Credential
BSINPHARMACY
Provider Entity Type
Individual
Gender
Male
Address
5851 S Packard Ave, Cudahy, WI, 53214-3785
Phone Number
414-744-6058
Fax Number
Provider Enumeration Date
11/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10632-40 01 WI PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
5851 S Packard Ave
City
Cudahy
State
Wisconsin
Zip
53110-2615
Phone Number
414-744-6058
Fax Number
person
Provider Business Mailing Address Details
Address
5851 S Packard Ave
City
Cudahy
State
Wisconsin
Zip
53110-2615
Phone Number
414-744-6058
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
10632-40 (Wisconsin)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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