# SOUTHWEST PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE PHARMACY SHOPPE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801976675
- **Authorized official:** JAMES HOFBAUER (OWNER)
- **Authorized official phone:** (414) 384-1660

## Contact information

- **Practice address:** 3201 S 16TH ST STE 1030, MILWAUKEE, WI 53215-4532
- **Practice address phone:** (414) 384-1660
- **Practice address fax:** (414) 384-1753
- **Mailing address:** 3201 S 16TH ST STE 1030, MILWAUKEE, WI 53215-4532
- **Mailing address phone:** (414) 384-1660
- **Mailing address fax:** (414) 384-1753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6817042 | WI | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 05/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33154000 | — | WI |
| 01 | — | 5110868 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |