Organization
WHITEFISH BAY PRESCRIPTION CENTER LTD
Active
Other names
Ye Olde Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STEPHEN WACLAWSKI RPH (PRESIDENT)
(414) 963-0811
Entity
Organization
Contact information
Practice address
5320 N PORT WASHINGTON RD, GLENDALE, WI 53217
(414) 963-0811
(414) 963-0830
Mailing address
5320 N PORT WASHINGTON RD, GLENDALE, WI 53217
(414) 963-0811
(414) 963-0830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8527
WI
3336C0003X
Community/Retail Pharmacy
Primary
7296
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33002200
—
WI
Enumeration date
08/04/2006
Last updated
10/24/2008
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