# PCCW LLC

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

## Provider details

- **NPI number:** 1306427349
- **Authorized official:** KARINA CHELSKY (ADMIN)
- **Authorized official phone:** (414) 467-8884

## Contact information

- **Practice address:** 136 N MAIN ST STE 102, THIENSVILLE, WI 53092-1606
- **Practice address phone:** (262) 429-9429
- **Practice address fax:** (262) 429-9428
- **Mailing address:** 136 N MAIN ST STE 102, THIENSVILLE, WI 53092-1606
- **Mailing address phone:** (262) 429-9429
- **Mailing address fax:** (262) 429-9428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 05/26/2022