# LTC RX-WAUSAU LLC

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

## Provider details

- **NPI number:** 1386564797
- **Authorized official:** PAUL WINGER (MEMBER)
- **Authorized official phone:** (715) 842-0791

## Contact information

- **Practice address:** 555 S 72ND AVE, WAUSAU, WI 54401-9038
- **Practice address phone:** (715) 842-0791
- **Practice address fax:** (715) 845-2176
- **Mailing address:** 555 S 72ND AVE, WAUSAU, WI 54401-9038
- **Mailing address phone:** (715) 842-0791
- **Mailing address fax:** (715) 845-2176

## Taxonomy

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

## Other

- **Enumeration date:** 07/16/2026
- **Last updated:** 07/21/2026