# CEDARBURG PRESCRIPTION CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LTC North Shore Pharmacy & Compounding Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306448246
- **Authorized official:** KYLE BEYER (OWNER)
- **Authorized official phone:** (414) 232-4103

## Contact information

- **Practice address:** N54 W6135 MILL STREET, SUITE 300, CEDARBURG, WI 53012
- **Practice address phone:** (262) 375-0010
- **Practice address fax:** (262) 375-0080
- **Mailing address:** N54 W6135 MILL STREET, SUITE 300, CEDARBURG, WI 53012
- **Mailing address phone:** (262) 375-0010
- **Mailing address fax:** (262) 375-0080

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 05/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33233800 | — | WI |