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MORELAND PLAZA PHARMACY INC NPI 1821584343


NPI Information

NPI: 1821584343
Provider Name: MORELAND PLAZA PHARMACY, INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
827 W MORELAND BLVD
WAUKESHA, WI
ZIP 53188
Phone: (262) 542-4488
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MORELAND PLAZA PHARMACY, INC is a long term care pharmacy pharmacy in Waukesha, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MORELAND PLAZA PHARMACY, INC NPI is 1821584343. The provider is registered as an organization entity type.

The provider's business location address is:

827 W MORELAND BLVD
WAUKESHA, WI
ZIP 53188-963
Phone: (262) 542-4488
Fax: (262) 650-4040

The provider's authorized official is Scott Hoff .
The authorized official title is Owner and has the following contact phone number (262) 542-4488.

The enumeration date for this NPI number is 7/9/2018 and was last updated on 7/9/2018.


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 Pharmacy4015-42Yes

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
133195300MEDICAIDWISCONSIN

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: 11/14/2023

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