Organization
LUXEMBURG PHARMACY, LLC
Active
Other names
Luxemburg Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SEIDL (OWNER AND RPH)
(920) 845-5832
Entity
Organization
Contact information
Practice address
125 SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
(920) 845-5832
(920) 845-5834
Mailing address
125 SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
(920) 845-5832
(920) 845-5834
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
8299-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170832
PK
—
05
—
33268500
—
WI
Enumeration date
08/15/2017
Last updated
07/19/2018
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