Organization
MARINETTE-MENOMINEE PRESCRIPTION CENTER LTD
Active
Other names
ValuCare Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WILKE B.S. PHARMACY (PRESIDENT/PIC)
(715) 732-0717
Entity
Organization
Contact information
Practice address
1378 MAIN ST, MARINETTE, WI 54143-2425
(715) 732-0717
(715) 732-0596
Mailing address
1378 MAIN ST, MARINETTE, WI 54143-2425
(715) 732-0717
(715) 732-0596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
9392-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176150
PK
—
05
—
33114900
—
WI
Enumeration date
02/23/2018
Last updated
09/19/2025
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