Organization
HAYWARD PHARMACY INC.
Active
Parent organization
HAYWARD PHARMACY INC DBA SWAN SERV U PHARM
Other names
dba SWAN SERV - U PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAYWARD PHARMACY INC DBA SWAN SERV U PHARM
Authorized official
MR. TIMOTHY JAMES WALSH RPH (PRESIDENT)
(414) 640-7129
Entity
Organization
Contact information
Practice address
9130 W NORTH AVE, WAUWATOSA, WI 53226-2623
(414) 258-9550
(414) 258-1088
Mailing address
9130 W. NORTH AVE, WAUWATOSA, WI 53226-2696
(414) 258-9550
(414) 258-1088
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
5343
WI
3336C0003X
Community/Retail Pharmacy
Primary
5343-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33139800
—
WI
01
—
5103205
OTHER ID NUMBER
—
Enumeration date
12/14/2006
Last updated
09/03/2010
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