Organization
WEST ALLIS PRESCRIPTION CENTER INC
Active
Other names
Skywalk Pharmacy West Allis
Organization subpart
No
Provider details
NPI number
Authorized official
MARC CADIEUX (CORPORATE VP/CFO)
(414) 266-6226
Entity
Organization
Contact information
Practice address
6737 W WASHINGTON AVE, SUITE 1100, WEST ALLIS, WI 53214
(414) 337-3333
(414) 337-3338
Mailing address
PO BOX 1997, MS 900 ROSALIE O'MEARA, MILWAUKEE, WI 53201-1997
(414) 266-6223
(414) 337-3338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9416-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160642
PK
—
Enumeration date
07/20/2016
Last updated
09/25/2019
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