Providence Pharmacy & Wellness

NPI #1245080860 in Glendale, Wisconsin

Provider Information

NPI Number: 1245080860
Entity Type: Organization
Organization Name: Providence Pharmacy & Wellness
Primary Specialty: Pharmacy
Enumeration Date: Mar 26, 2024
Last Updated: Mar 26, 2024

Practice Location

Address: 2500 W SILVER SPRING DR
City: Glendale
State: Wisconsin
ZIP Code: 53209-4218
Phone: (414) 400-0104

Authorized Official

Name: DR. ROSTIAN N AKPOR-MENSAH, PHARMD
Title: MANAGING PHARMACIST
Phone: (414) 305-7131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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