Providence Family Pharmacy LLC
NPI #1386190247 in Glendale, Wisconsin
Provider Information
- NPI Number
- 1386190247
- Entity Type
- Organization
- Organization Name
- Providence Family Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 31, 2016
- Last Updated
- Feb 20, 2020
Practice Location
Authorized Official
- Name
- ABIOLA OKUSANYA
- Title
- MANAGER
- Phone
- (414) 885-0550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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