Organization
SURETY PRO PHARMACY LLC
Active
Other names
Surety Pro Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY P. OLSZEWSKI RPH (VICE PRESIDENT PHARMACY)
(414) 433-0188
Entity
Organization
Contact information
Practice address
9200 W LAYTON AVE, GREENFIELD, WI 53228-3348
(414) 433-0188
(414) 433-0292
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
9083-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131230
PK
—
Enumeration date
08/15/2011
Last updated
10/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us