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SURETY PRO PHARMACY LLC NPI 1942589445


NPI Information

NPI: 1942589445
Provider Name: SURETY PRO PHARMACY LLC

Doing Business As: SURETY PRO PHARMACY LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
9200 W LAYTON AVE
GREENFIELD, WI
ZIP 53228
Phone: (414) 433-0188
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SURETY PRO PHARMACY LLC is a long term care pharmacy pharmacy in Greenfield, 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. SURETY PRO PHARMACY LLC NPI is 1942589445. The provider is registered as an organization entity type.
The provider Is Doing Business As Surety Pro Pharmacy Llc.

The provider's business location address is:

9200 W LAYTON AVE
GREENFIELD, WI
ZIP 53228-348
Phone: (414) 433-0188
Fax: (414) 433-0292

The provider's authorized official is Gary P. Olszewski .
The authorized official title is Vice President Pharmacy and has the following contact phone number (414) 433-0188.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 10/24/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy9083-42WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12131230OTHERPK

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: 5/5/2024

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