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STREUS PHARMACY INC NPI 1497898472


NPI Information

NPI: 1497898472
Provider Name: STREUS PHARMACY INC

Doing Business As: STREUS PHARMACY LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
528 N MONROE AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 437-0206
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STREUS PHARMACY INC is a long term care pharmacy pharmacy in Green Bay, WI. The provider is 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. STREUS PHARMACY INC NPI is 1497898472. The provider is registered as an organization entity type.
The provider Is Doing Business As Streus Pharmacy Ltc.

The provider's business location address is:

528 N MONROE AVE
GREEN BAY, WI
ZIP 54301-910
Phone: (920) 437-0206
Fax: (920) 884-6932

The provider's authorized official is Jeffrey A Kirchner .
The authorized official title is Owner Pharmacist and has the following contact phone number (920) 437-0206.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 2/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy8504-042WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10159290001MEDICARE NSCWISCONSIN
20159290001MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
35128601OTHERWISCONSINNABP
433073500MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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