Gwidt Pharmacy Inc
Organization Active NPI Long Term Care Pharmacy · Wittenberg, WI
NPI 1558092429 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1558092429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- GWIDT PHARMACY INC
- Practice address
- 203 E Westgor Ave
Wittenberg, WI 54499-9174 - Phone
- (715) 253-2164
- Fax
- (715) 253-3030
- NPI assigned
- Jun 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Shane Resch, PHARM D, RPH
- Title
- Vice-President
- Phone
- (715) 253-2164
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Gwidt Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
203 E Westgor Ave
Wittenberg, WI 54499-9174
Mailing address
PO Box 253
Wittenberg, WI 54499-0253
Phone (715) 253-2164
Other providers in Wittenberg, WI
- Paul Bryan Dahms
- Emily Jeanne Desilet
- Terri Graham
- Erin Grosskopf
- Gwidt Pharmacy Inc
- Gwidt Pharmacy Inc
- Maria Hachfeld
- Michael D Haylett
- Nichol M Hermel
- Ho Chunk Nation
All providers in Wittenberg, WI · Long Term Care Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.