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Organization
WISCONSIN COMMUNITY SERVICES, INC.
Active
Organization
WISCONSIN COMMUNITY SERVICES, INC.
Active
Other names
WCS CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY PERRY PHARMD (MANAGING PHARMACIST)
(414) 343-3543
Entity
Organization
Contact information
Practice address
3734 W WISCONSIN AVE, MILWAUKEE, WI 53208
(414) 343-3543
(414) 344-3176
Mailing address
3734 W WISCONSIN AVE, MILWAUKEE, WI 53208
(414) 343-3543
(414) 344-3176
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
8454042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115205
PK
—
05
—
33034900
—
WI
01
—
5120972
NCPDP ID
—
Enumeration date
12/21/2006
Last updated
12/05/2017
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