Organization · Type 2 NPI
PCCW LLC
Long Term Care Pharmacy · Thiensville, WI
NPI number
1306427349
Active
Practice location
136 N Main St Ste 102
Thiensville, WI 53092-1606
Fax (262) 429-9428
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 1306427349
PCCW LLC's National Provider Identifier is 1306427349, issued on Apr 20, 2021. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Thiensville, WI. The record was last updated on May 26, 2022.