Organization
GUARDIAN PHARMACY OF MADISON, LLC
Active
Other names
Guardian Pharmacy of Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MIKE FLINT (DO)
(414) 727-5750
Entity
Organization
Contact information
Practice address
11420 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1137
(414) 727-5750
(414) 727-5770
Mailing address
11420 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1137
(414) 727-5750
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/21/2022
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