Nicolet Pharmacy Long Term Care
NPI #1063302990 in Lakewood, Wisconsin
Provider Information
- NPI Number
- 1063302990
- Entity Type
- Organization
- Organization Name
- Nicolet Pharmacy Long Term Care
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NICOLET PHARMACY INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jul 3, 2025
- Last Updated
- Jul 3, 2025
Practice Location
Authorized Official
- Name
- AMY J DONALDSON
- Title
- PRESIDENT
- Phone
- (715) 276-3646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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