# LA CLINICA DE LOS CAMPESINOS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LA CLINICA DE LOS CAMPESINOS, INC
- **Other names:** Noble Pharmacy, Lakeshore Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295258200
- **Legal business name:** LA CLINICA DE LOS CAMPESINOS, INC
- **Authorized official:** ERIN BENDER (ENROLLMENT AND CONTRACT SPECIALIST)
- **Authorized official phone:** (920) 787-9459

## Contact information

- **Practice address:** 1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
- **Practice address phone:** (920) 395-2980
- **Practice address fax:** (920) 783-6804
- **Mailing address:** PO BOX 1440, WAUTOMA, WI 54982-1440
- **Mailing address phone:** (920) 395-2980
- **Mailing address fax:** (920) 783-6804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 947242 | WI | — |
| 3336C0003X | Community/Retail Pharmacy | 947242 | WI | Yes |

## Other

- **Enumeration date:** 07/21/2017
- **Last updated:** 03/04/2026