# PHARMACEUTICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Bend Assisted Living Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942314570
- **Authorized official:** MR. STEVEN F NIEBAUER RPH (OWNER)
- **Authorized official phone:** (262) 677-1401

## Contact information

- **Practice address:** W209 N17321 INDUSTRIAL DR, JACKSON, WI 53037-9389
- **Practice address phone:** (262) 677-1401
- **Practice address fax:** (262) 677-9112
- **Mailing address:** W209N17321 INDUSTRIAL DR, JACKSON, WI 53037-9389
- **Mailing address phone:** (262) 677-1401
- **Mailing address fax:** (262) 677-9112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 8482042 | WI | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 10/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33243200 | — | WI |