# MANITOWOC PHARMACIES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MANITOWOC PHARMACIES INC
- **Other names:** Pulaski Pharmacy - Long Term Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538899596
- **Legal business name:** MANITOWOC PHARMACIES INC
- **Authorized official:** MR. TIMOTHY P STARRY (VICE PRESIDENT)
- **Authorized official phone:** (920) 822-3011

## Contact information

- **Practice address:** 121 N SAINT AUGUSTINE ST, PULASKI, WI 54162-7982
- **Practice address phone:** (920) 822-3011
- **Practice address fax:** (920) 822-3852
- **Mailing address:** PO BOX 200, PULASKI, WI 54162-0200
- **Mailing address phone:** (920) 822-3011
- **Mailing address fax:** (920) 822-3852

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2022
- **Last updated:** 06/13/2022
