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Surety Pro Pharmacy Llc
Long Term Care Pharmacy in Greenfield, Wisconsin
NPI 1942589445

Surety Pro Pharmacy Llc is a Long Term Care Pharmacy based in Salt Lake City, WI and is specialized in Long Term Care Pharmacy. Surety Pro Pharmacy Llc practices in Greenfield, WI. The NPI Number for Surety Pro Pharmacy Llc is 1942589445 and holds a License No. (Wisconsin).

The current practice location address for Surety Pro Pharmacy Llc is 9200 W Layton Ave, Greenfield, WI and can be reached out via phone at 414-433-0188 and via fax at 414-433-0292. You can also correspond with Surety Pro Pharmacy Llc through the mailing address at PO BOX 9830, SALT LAKE CITY, UT - 84109-9830 (mailing address contact number: 877-540-4748).

Location: 9200 W Layton Ave, Greenfield, WI, 84109-9830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942589445
Provider Name
Surety Pro Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
9200 W Layton Ave, Greenfield, WI, 84109-9830
Phone Number
414-433-0188
Fax Number
414-433-0292
Provider Enumeration Date
08/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2131230 01 PK
institution
Provider Business Practice Location Address Details
Address
9200 W Layton Ave
City
Greenfield
State
Wisconsin
Zip
53228-3348
Phone Number
414-433-0188
Fax Number
414-433-0292
person
Provider Business Mailing Address Details
Address
Po Box 9830
City
Salt Lake City
State
Utah
Zip
84109-9830
Phone Number
877-540-4748
Fax Number
801-716-4872
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
9083-42 (Wisconsin)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
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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