Organization
ASSISTED LIVING PHARMACY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL HUIBREGTSE (MANAGING MEMBER)
(414) 433-1700
Entity
Organization
Contact information
Practice address
W133N5138 CAMPBELL DR, MENOMONEE FALLS, WI 53051-7030
(414) 433-1700
(414) 433-1730
Mailing address
W133N5138 CAMPBELL DR, MENOMONEE FALLS, WI 53051-7030
(414) 433-1700
(414) 433-1730
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8373042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33273200
—
WI
01
—
5127774
NABP
—
Enumeration date
11/03/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us