# TOMAHAWK PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851098990
- **Authorized official:** TYLER J STEVENSON (OWNER)
- **Authorized official phone:** (715) 453-6600

## Contact information

- **Practice address:** 315 W WISCONSIN AVE, TOMAHAWK, WI 54487-1133
- **Practice address phone:** (715) 453-6600
- **Practice address fax:** (715) 453-6601
- **Mailing address:** 315 W WISCONSIN AVE, TOMAHAWK, WI 54487-1133
- **Mailing address phone:** (715) 453-6600
- **Mailing address fax:** (715) 453-6601

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2023
- **Last updated:** 02/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100126644 | — | WI |