Organization
PORT FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VINEBURG (OWNER)
(262) 261-3900
Entity
Organization
Contact information
Practice address
1021 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1207
(262) 261-3900
Mailing address
1021 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1207
(262) 261-3900
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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