Organization
NORTH SHORE PHARMACY INC
Active
Other names
THOMPSONS SERV U PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY LAWLESS (MANAGER)
(414) 962-9665
Entity
Organization
Contact information
Practice address
1421 E CAPITOL DR, SHOREWOOD, WI 53211-1956
(414) 962-9665
(414) 962-4590
Mailing address
1421 E CAPITOL DR, SHOREWOOD, WI 53211-1956
(414) 962-9665
(414) 962-4590
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4914
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33152000
—
WI
01
—
5104271
OTHER ID NUMBER
—
Enumeration date
12/16/2006
Last updated
08/23/2010
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