Pccw LLC
NPI #1306427349 in Thiensville, Wisconsin
Provider Information
- NPI Number
- 1306427349
- Entity Type
- Organization
- Organization Name
- Pccw LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Apr 20, 2021
- Last Updated
- May 26, 2022
Practice Location
- Address
- 136 N MAIN ST STE 102
- City
- Thiensville
- State
- Wisconsin
- ZIP Code
- 53092-1606
- Phone
- (262) 429-9429
Authorized Official
- Name
- KARINA CHELSKY
- Title
- ADMIN
- Phone
- (414) 467-8884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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