Organization · Type 2 NPI
Surety Pro Pharmacy LLC
Long Term Care Pharmacy · Greenfield, WI
NPI number
1942589445
Active
Practice location
9200 W Layton Ave
Greenfield, WI 53228-3348
Fax (414) 433-0292
Mailing address
PO Box 9830
Salt Lake City, UT 84109-9830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | 9083-42 (WI) |
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.
3 other providers at this address
About NPI 1942589445
Surety Pro Pharmacy LLC's National Provider Identifier is 1942589445, issued on Aug 15, 2011. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Greenfield, WI. The record was last updated on Oct 24, 2016.