Organization
WISCONSIN COMMUNITY SERVICES, INC.
Active
Other names
WCS CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY PERRY PHARMD (MANAGING PHARMACIST)
(414) 343-3543
Entity
Organization
Contact information
Practice address
3734 W WISCONSIN AVE, MILWAUKEE, WI 53208
(414) 343-3543
(414) 344-3176
Mailing address
3734 W WISCONSIN AVE, MILWAUKEE, WI 53208
(414) 343-3543
(414) 344-3176
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
8454042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115205
PK
—
05
—
33034900
—
WI
01
—
5120972
NCPDP ID
—
Enumeration date
12/21/2006
Last updated
12/05/2017
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