Organization
NEWCASTLE PLACE INC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MAILE RPH (DIRECTOR OF PHARMACY)
(262) 387-8888
Entity
Organization
Contact information
Practice address
12600 N PORT WASHINGTON RD, MEQUON, WI 53092-3469
(262) 387-8888
(262) 387-8829
Mailing address
12600 N PORT WASHINGTON RD, MEQUON, WI 53092-3469
(262) 387-8888
(262) 387-8829
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8282042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33287800
—
WI
Enumeration date
09/19/2006
Last updated
08/22/2020
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