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GUARDIAN PHARMACY OF MADISON LLC NPI 1962999805


NPI Information

NPI: 1962999805
Provider Name: GUARDIAN PHARMACY OF MADISON, LLC

Doing Business As: MALLATT'S HOME CARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
N85 W15882 APPLETON AVE
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 437-0031
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GUARDIAN PHARMACY OF MADISON, LLC is a long term care pharmacy pharmacy in Menomonee Falls, 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. GUARDIAN PHARMACY OF MADISON, LLC NPI is 1962999805. The provider is registered as an organization entity type.
The provider Is Doing Business As Mallatt's Home Care Pharmacy.

The provider's business location address is:

N85 W15882 APPLETON AVE
MENOMONEE FALLS, WI
ZIP 53051-082
Phone: (262) 437-0031
Fax: (262) 255-2058

The provider's authorized official is Jeff Tuch .
The authorized official title is Vp-purchasing & Payor Relations and has the following contact phone number (404) 532-5011.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 4/17/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy9503-42WISCONSINYes

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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