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Organization
GOOD VALUE PHARMACY LLC
Active
Organization
GOOD VALUE PHARMACY LLC
Active
Other names
Prescriptions Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A. PEARSON (PRESIDENT)
(414) 727-5750
Entity
Organization
Contact information
Practice address
10233 W GREENFIELD AVE, WEST ALLIS, WI 53214-3911
(414) 727-5750
(414) 727-5770
Mailing address
10233 W GREENFIELD AVE, WEST ALLIS, WI 53214-3911
(414) 727-5750
(414) 727-5770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8268
WI
3336I0012X
Institutional Pharmacy
8268
WI
3336L0003X
Long Term Care Pharmacy
Primary
8268
WI
3336S0011X
Specialty Pharmacy
8268
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593400
—
IA
05
—
10025290400
—
NE
05
—
33042600
—
WI
01
—
5116425
NCPDP NUMBER
WI
Enumeration date
11/01/2006
Last updated
03/07/2023
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