# LUXEMBURG PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Luxemburg Pharmacy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164948816
- **Authorized official:** CHRISTINE SEIDL (OWNER AND RPH)
- **Authorized official phone:** (920) 845-5832

## Contact information

- **Practice address:** 125 SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
- **Practice address phone:** (920) 845-5832
- **Practice address fax:** (920) 845-5834
- **Mailing address:** 125 SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
- **Mailing address phone:** (920) 845-5832
- **Mailing address fax:** (920) 845-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 8299-042 | WI | Yes |

## Other

- **Enumeration date:** 08/15/2017
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2170832 | PK | — |
| 05 | — | 33268500 | — | WI |
