# CEDARBURG PRESCRIPTION CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** North Shore Pharmacy, YE OLDE PHARMACY AND WELLNESS CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730282880
- **Authorized official:** KYLE BEYER (OWNER)
- **Authorized official phone:** (414) 232-4103

## Contact information

- **Practice address:** N54W6135 MILL ST, STE 300, CEDARBURG, WI 53012-2021
- **Practice address phone:** (262) 375-0010
- **Practice address fax:** (262) 375-0080
- **Mailing address:** N54W6135 MILL ST, STE 300, CEDARBURG, WI 53012-2021
- **Mailing address phone:** (262) 375-0010
- **Mailing address fax:** (262) 375-0080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 054.018973 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | 22-44771 | KS | — |
| 3336C0003X | Community/Retail Pharmacy | 7808-42 | WI | — |
| 3336C0003X | Community/Retail Pharmacy | PH29535 | FL | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 03/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2108915 | PK | — |
| 05 | — | 33233800 | — | WI |