# ELKHORN PHARMACY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316789878
- **Authorized official:** MAY HERNING KUE PHARMD (OWNER)
- **Authorized official phone:** (262) 723-8444

## Contact information

- **Practice address:** 603 E GENEVA ST, ELKHORN, WI 53121-2301
- **Practice address phone:** (262) 723-8444
- **Practice address fax:** (262) 723-8760
- **Mailing address:** 603 E GENEVA ST, ELKHORN, WI 53121-2301
- **Mailing address phone:** (262) 723-8444
- **Mailing address fax:** (262) 723-8760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33199000 | — | WI |