# HAYEKS SHOREWOOD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAYEKS SHOREWOOD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891706396
- **Authorized official:** WILLIAM QUANDT RPH (OWNER)
- **Authorized official phone:** (414) 332-8870

## Contact information

- **Practice address:** 4001 N DOWNER AVE, MILWAUKEE, WI 53211-2127
- **Practice address phone:** (414) 332-8870
- **Practice address fax:** (414) 332-0188
- **Mailing address:** 4001 N DOWNER AVE, MILWAUKEE, WI 53211-2127
- **Mailing address phone:** (414) 332-8870
- **Mailing address fax:** (414) 332-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 4184-42 | WI | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 04/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113269 | PK | — |
| 05 | — | 33140700 | — | WI |