Organization
ZIMBRIC PHARMACIES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS LLOYD SHARROW RPH (PRESIDENT)
(920) 478-2685
Entity
Organization
Contact information
Practice address
104 E MADISON ST, WATERLOO, WI 53594-1273
(920) 478-2685
Mailing address
104 E MADISON ST, WATERLOO, WI 53594-1273
(920) 478-2685
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5110058
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330-764-00
—
WI
01
—
5110058
NABP #
WI
Enumeration date
08/03/2005
Last updated
10/18/2013
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