Organization · Type 2 NPI

Guardian Pharmacy of Madison, LLC

Long Term Care Pharmacy · Menomonee Falls, WI

NPI number 1962999805 Active

Practice location

N85 W15882 Appleton Ave
Menomonee Falls, WI 53051-3082

Fax (262) 255-2058

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	9503-42 (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.

Other long term care pharmacy providers in Menomonee Falls

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NPI record

NPI: 1962999805
Entity type: Organization (Type 2)
Issued: Apr 17, 2018
Last updated: Apr 17, 2018
Status: Active
Subpart: Yes of Guardian Pharmacy, LLC

Other names

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Mallatt's Home Care Pharmacy · doing business as

Authorized official

Jeff Tuch, CPA
VP-Purchasing & Payor Relations
(404) 532-5011

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962999805

Guardian Pharmacy of Madison, LLC's National Provider Identifier is 1962999805, issued on Apr 17, 2018. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Menomonee Falls, WI. The record was last updated on Apr 17, 2018.