Organization
SISTER BAY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THOMAS (PRESIDENT)
(920) 854-4121
Entity
Organization
Contact information
Practice address
326 COUNTRY WALK LN, 6A, SISTER BAY, WI 54234-9482
(920) 854-4121
(920) 854-9531
Mailing address
326 COUNTRY WALK LN, 6A, SISTER BAY, WI 54234-9482
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
7147042
WI
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33178800
—
WI
01
—
5120578
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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