Organization
KINDRED PHARMACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL SUSAN CZEBOTAR RPH (MANAGER)
(262) 641-0723
Entity
Organization
Contact information
Practice address
5055 S EMMER DR, NEW BERLIN, WI 53151-7361
(262) 641-0723
(262) 641-0619
Mailing address
5055 S EMMER DR, NEW BERLIN, WI 53151-7361
(262) 641-0723
(262) 641-0619
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8456042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33280500
—
WI
Enumeration date
07/11/2005
Last updated
08/22/2020
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