# MAPLEWOOD OF SAUK PRAIRIE

> 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:** MAPLEWOOD OF SAUK PRAIRIE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821081936
- **Authorized official:** MR. RICHARD CARL HARRIS R.PH. (STAFF PHARMACIST)
- **Authorized official phone:** (608) 644-9265

## Contact information

- **Practice address:** 245 SYCAMORE STEET, SAUK CITY, WI 53583
- **Practice address phone:** (608) 644-9265
- **Practice address fax:** (608) 643-2629
- **Mailing address:** 245 SYCAMORE STEET, SAUK CITY, WI 53583
- **Mailing address phone:** (608) 644-9265
- **Mailing address fax:** (608) 643-2629

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 10/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113946 | PK | — |
| 05 | — | 33204100 | — | WI |