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Organization
WEST ALLIS PRESCRIPTION CENTER INC
Active
Organization
WEST ALLIS PRESCRIPTION CENTER INC
Active
Other names
Skywalk Pharmacy West Allis
Organization subpart
No
Provider details
NPI number
Authorized official
MARC CADIEUX (CORPORATE VP/CFO)
(414) 266-6226
Entity
Organization
Contact information
Practice address
6737 W WASHINGTON AVE, SUITE 1100, WEST ALLIS, WI 53214
(414) 337-3333
(414) 337-3338
Mailing address
PO BOX 1997, MS 900 ROSALIE O'MEARA, MILWAUKEE, WI 53201-1997
(414) 266-6223
(414) 337-3338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9416-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160642
PK
—
Enumeration date
07/20/2016
Last updated
09/25/2019
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