Organization · Type 2 NPI
Nicolet Pharmacy Long Term Care
Long Term Care Pharmacy · Lakewood, WI
NPI number
1063302990
Active
Practice location
15481 Commercial Rd Ste A
Lakewood, WI 54138-9677
Fax (715) 276-9568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
About NPI 1063302990
Nicolet Pharmacy Long Term Care's National Provider Identifier is 1063302990, issued on Jul 3, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Lakewood, WI. The record was last updated on Jul 3, 2025.