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Pccw Llc
Long Term Care Pharmacy in Thiensville, Wisconsin
NPI 1306427349

Pccw Llc is a Long Term Care Pharmacy based in Thiensville, WI and is specialized in Long Term Care Pharmacy. Pccw Llc practices in Thiensville, WI. The NPI Number for Pccw Llc is 1306427349 and holds a License No. (Wisconsin).

The current practice location address for Pccw Llc is 136 N Main St Ste 102, Thiensville, WI and can be reached out via phone at 262-429-9429 and via fax at 262-429-9428.

Location: 136 N Main St Ste 102, Thiensville, WI, 53092-1606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306427349
Provider Name
Pccw Llc
Credential
Provider Entity Type
Organization
Address
136 N Main St Ste 102, Thiensville, WI, 53092-1606
Phone Number
262-429-9429
Fax Number
262-429-9428
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
136 N Main St Ste 102
City
Thiensville
State
Wisconsin
Zip
53092-1606
Phone Number
262-429-9429
Fax Number
262-429-9428
person
Provider Business Mailing Address Details
Address
136 N Main St Ste 102
City
Thiensville
State
Wisconsin
Zip
53092-1606
Phone Number
262-429-9429
Fax Number
262-429-9428
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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