Organization
TLSME INC
Active
Other names
SEYMOUR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SCHELLINGER RPH (OWNER)
(920) 833-2141
Entity
Organization
Contact information
Practice address
124 S MAIN ST, SEYMOUR, WI 54165-1451
(920) 833-2141
(920) 833-7556
Mailing address
124 S MAIN ST, SEYMOUR, WI 54165-1451
(920) 833-2141
(920) 833-7556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7407-042
WI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33202000
—
WI
01
—
5109194
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/26/2005
Last updated
10/14/2010
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