Organization
PCCW LLC
Active
Other names
Welltopia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA CHELSKY (ADMIN)
(414) 467-8884
Entity
Organization
Contact information
Practice address
136 N MAIN ST STE 102, THIENSVILLE, WI 53092-1606
(262) 429-9429
(262) 429-9428
Mailing address
136 N MAIN ST STE 102, THIENSVILLE, WI 53092-1606
(262) 429-9429
(262) 429-9428
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
05/26/2022
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