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Organization
ASSISTED LIVING PHARMACY SERVICE, LLC
Active
Organization
ASSISTED LIVING PHARMACY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL HUIBREGTSE (MANAGING MEMBER)
(414) 433-1700
Entity
Organization
Contact information
Practice address
W133N5138 CAMPBELL DR, MENOMONEE FALLS, WI 53051-7030
(414) 433-1700
(414) 433-1730
Mailing address
W133N5138 CAMPBELL DR, MENOMONEE FALLS, WI 53051-7030
(414) 433-1700
(414) 433-1730
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8373042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33273200
—
WI
01
—
5127774
NABP
—
Enumeration date
11/03/2005
Last updated
03/07/2023
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