Organization
PRUNELLA PHARMACY LLC
Active
Other names
Prunella Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FATMA SAAD RPH (PHARMACY MANAGER)
(262) 420-9525
Entity
Organization
Contact information
Practice address
17135 W CAPITOL DR, STE 110, BROOKFIELD, WI 53005
(262) 420-9525
(414) 296-8456
Mailing address
17135 W CAPITOL DRIVE, SUITE 110, BROOKFIELD, WI 53005
(262) 777-6911
(262) 777-6910
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10157-42
STATE PHARMACY LICENSE
WI
Enumeration date
08/01/2025
Last updated
11/25/2025
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