Organization
NICHOLAS L SMITH PHARMACY LLC
Active
Other names
Smith Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS LEE SMITH PHARMD (OWNER / PHARMACIST)
(920) 788-8888
Entity
Organization
Contact information
Practice address
1914 FREEDOM RD, LITTLE CHUTE, WI 54140-1294
(920) 788-8888
(920) 788-8883
Mailing address
1914 FREEDOM RD, LITTLE CHUTE, WI 54140-1294
(920) 788-8888
(920) 788-8883
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9226-42
WI
3336C0004X
Compounding Pharmacy
9226-42
WI
3336L0003X
Long Term Care Pharmacy
9226-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10146-42
STATE
WI
05
—
1851724637
—
WI
01
—
5133905
NCPDP
—
Enumeration date
08/15/2013
Last updated
01/07/2026
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