Organization
MORELAND PLAZA PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HOFF (OWNER)
(262) 542-4488
Entity
Organization
Contact information
Practice address
827 W MORELAND BLVD, WAUKESHA, WI 53188-2963
(262) 542-4488
(262) 650-4040
Mailing address
827 W MORELAND BLVD, WAUKESHA, WI 53188-2963
(262) 542-4488
(262) 650-4040
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
4015-42
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33195300
—
WI
Enumeration date
07/09/2018
Last updated
07/09/2018
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