# COMMUNITY CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY CARE INC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932213923
- **Authorized official:** MR. KENNETH MUNSON (CEO)
- **Authorized official phone:** (414) 231-4000

## Contact information

- **Practice address:** 1555 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
- **Practice address phone:** (414) 902-2397
- **Practice address fax:** (414) 649-9149
- **Mailing address:** 1555 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
- **Mailing address phone:** (414) 902-2397
- **Mailing address fax:** (414) 649-9149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0003X | Managed Care Organization Pharmacy | 8638-42 | WI | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 10/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100036712 | — | WI |
| 01 | — | 2110889 | PK | — |