Organization
CEDARBURG PRESCRIPTION CENTER, INC
Active
Other names
LTC North Shore Pharmacy & Compounding Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BEYER (OWNER)
(414) 232-4103
Entity
Organization
Contact information
Practice address
N54 W6135 MILL STREET, SUITE 300, CEDARBURG, WI 53012
(262) 375-0010
(262) 375-0080
Mailing address
N54 W6135 MILL STREET, SUITE 300, CEDARBURG, WI 53012
(262) 375-0010
(262) 375-0080
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33233800
—
WI
Enumeration date
11/16/2020
Last updated
05/09/2024
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