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Cedar Lake Pharmacy
Durable Medical Equipment & Medical Supplies in West Bend, Wisconsin
NPI 1881711935

Cedar Lake Pharmacy is a Durable Medical Equipment & Medical Supplies based in West Bend, WI. Cedar Lake Pharmacy practices in West Bend, WI. The NPI Number for Cedar Lake Pharmacy is 1881711935 and holds a License No. 5115503 (Wisconsin).

The current practice location address for Cedar Lake Pharmacy is 5595 County Road Z, West Bend, WI and can be reached out via phone at 262-306-2117 and via fax at 262-306-2126.

Location: 5595 County Road Z, West Bend, WI, 53095-9224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881711935
Provider Name
Cedar Lake Pharmacy
Credential
Provider Entity Type
Organization
Address
5595 County Road Z, West Bend, WI, 53095-9224
Phone Number
262-306-2117
Fax Number
262-306-2126
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20125800 05 WI
institution
Provider Business Practice Location Address Details
Address
5595 County Road Z
City
West Bend
State
Wisconsin
Zip
53095-9224
Phone Number
262-306-2117
Fax Number
262-306-2126
person
Provider Business Mailing Address Details
Address
5595 County Road Z
City
West Bend
State
Wisconsin
Zip
53095-9224
Phone Number
262-306-2117
Fax Number
262-306-2126
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
5115503 (Wisconsin)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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