# PHARMACARE LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wally Shong Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104928902
- **Authorized official:** BRANDIN HENKE (CREDENTIALING)
- **Authorized official phone:** (715) 833-6770

## Contact information

- **Practice address:** 153 W LINCOLN ST, AUGUSTA, WI 54722-9152
- **Practice address phone:** (715) 286-2515
- **Practice address fax:** (715) 286-4102
- **Mailing address:** PO BOX 364, AUGUSTA, WI 54722-0364
- **Mailing address phone:** (715) 286-2515
- **Mailing address fax:** (715) 286-4102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 05/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33263400 | — | WI |