# NORTH SHORE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THOMPSONS SERV U PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316009038
- **Authorized official:** JEFFERY LAWLESS (MANAGER)
- **Authorized official phone:** (414) 962-9665

## Contact information

- **Practice address:** 1421 E CAPITOL DR, SHOREWOOD, WI 53211-1956
- **Practice address phone:** (414) 962-9665
- **Practice address fax:** (414) 962-4590
- **Mailing address:** 1421 E CAPITOL DR, SHOREWOOD, WI 53211-1956
- **Mailing address phone:** (414) 962-9665
- **Mailing address fax:** (414) 962-4590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 4914 | WI | Yes |

## Other

- **Enumeration date:** 12/16/2006
- **Last updated:** 08/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33152000 | — | WI |
| 01 | — | 5104271 | OTHER ID NUMBER | — |