# FITCHBURG FAMILY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fitchburg Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285071548
- **Authorized official:** THADDEUS JAMES SCHUMACHER PHARMD (PHARMACIST / OWNER)
- **Authorized official phone:** (608) 274-3784

## Contact information

- **Practice address:** 3050 CAHILL MAIN STE 6, FITCHBURG, WI 53711-7137
- **Practice address phone:** (608) 274-3784
- **Practice address fax:** (608) 274-3780
- **Mailing address:** 3050 CAHILL MAIN STE 6, FITCHBURG, WI 53711-7137
- **Mailing address phone:** (608) 274-3784
- **Mailing address fax:** (608) 274-3780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9205-42 | WI | Yes |

## Other

- **Enumeration date:** 05/28/2013
- **Last updated:** 12/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100031378 | — | WI |
| 01 | — | 2140531 | PK | — |