Organization
HAYEKS SHOREWOOD PHARMACY INC
Active
Other names
HAYEKS SHOREWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM QUANDT RPH (OWNER)
(414) 332-8870
Entity
Organization
Contact information
Practice address
4001 N DOWNER AVE, MILWAUKEE, WI 53211-2127
(414) 332-8870
(414) 332-0188
Mailing address
4001 N DOWNER AVE, MILWAUKEE, WI 53211-2127
(414) 332-8870
(414) 332-0188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4184-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113269
PK
—
05
—
33140700
—
WI
Enumeration date
08/10/2006
Last updated
04/25/2016
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