Organization
LA CLINICA DE LOS CAMPESINOS, INC
Active
Parent organization
LA CLINICA DE LOS CAMPESINOS, INC
Other names
Noble Pharmacy, Lakeshore Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DE LOS CAMPESINOS, INC
Authorized official
ERIN BENDER (ENROLLMENT AND CONTRACT SPECIALIST)
(920) 787-9459
Entity
Organization
Contact information
Practice address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
(920) 395-2980
(920) 783-6804
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
(920) 395-2980
(920) 783-6804
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
947242
WI
3336C0003X
Community/Retail Pharmacy
Primary
947242
WI
Other
Enumeration date
07/21/2017
Last updated
03/04/2026
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