# 5 GUYSRX 3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellCreek Pharmacy Middleton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164170692
- **Authorized official:** MR. JEFFREY DAVID ZIETLOW RPH (RPH)
- **Authorized official phone:** (608) 203-8090

## Contact information

- **Practice address:** 2532 ALLEN BLVD, MIDDLETON, WI 53562-2212
- **Practice address phone:** (608) 345-0330
- **Mailing address:** 2532 ALLEN BLVD, MIDDLETON, WI 53562-2212
- **Mailing address phone:** (608) 203-8090
- **Mailing address fax:** (608) 203-8155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2022
- **Last updated:** 09/22/2023