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

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1942589445
NPI Entity Type Organization
Provider Name Surety Pro Pharmacy Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9200 W Layton Ave, Greenfield, WI, US
Provider Mailing Address Po Box 9830, Salt Lake City, UT, US, 841099830
Is Sole Proprietor? No
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Organization Official

Official Name MR. RPH Gary P. Olszewski
Official Position VICE PRESIDENT PHARMACY
Phone 414-433-0188

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 9083-42
License State WI
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

Surety Pro Pharmacy LLC
Doing Business As

Business Address

Surety Pro Pharmacy Llc
9200 W Layton Ave

Greenfield, WI, US

Phone: 414-433-0188
Fax: 414-433-0292

Mailing Address

Surety Pro Pharmacy Llc
Po Box 9830
Salt Lake City, UT, US
ZIP 841099830
Phone: 877-540-4748
Fax: 801-716-4872

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

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Fort Healthcare, Inc

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