# NEWCASTLE PLACE INC PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184721615
- **Authorized official:** MR. ROBERT MAILE RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (262) 387-8888

## Contact information

- **Practice address:** 12600 N PORT WASHINGTON RD, MEQUON, WI 53092-3469
- **Practice address phone:** (262) 387-8888
- **Practice address fax:** (262) 387-8829
- **Mailing address:** 12600 N PORT WASHINGTON RD, MEQUON, WI 53092-3469
- **Mailing address phone:** (262) 387-8888
- **Mailing address fax:** (262) 387-8829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 8282042 | WI | Yes |

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33287800 | — | WI |