Pccw LLC
NPI #1346791753 in Thiensville, Wisconsin
Provider Information
- NPI Number
- 1346791753
- Entity Type
- Organization
- Organization Name
- Pccw LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 20, 2016
- Last Updated
- May 26, 2022
Practice Location
- Address
- 136 N MAIN ST
- City
- Thiensville
- State
- Wisconsin
- ZIP Code
- 53092-1606
- Phone
- (414) 810-7229
Authorized Official
- Name
- OMAR ELIWA, RPH
- Title
- OWNER, RPH, AO
- Phone
- (414) 204-4025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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