Organization
LAKESHORE APOTHACARE INC.
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C JENSEN R. PH. (OWNER/PRESIDENT)
(920) 794-1225
Entity
Organization
Contact information
Practice address
1500 WASHINGTON ST, TWO RIVERS, WI 54241-3045
(920) 794-1225
(920) 794-7091
Mailing address
1500 WASHINGTON ST, TWO RIVERS, WI 54241-3045
(920) 794-1225
(920) 794-7091
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7778
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33229600
—
WI
01
—
5124273
NCPDP #
WI
Enumeration date
07/02/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up