Andrew Paul Marlewski, R.PH.
Individual provider Active NPI Pharmacist · Waterford, WI
NPI 1801126255 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1801126255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8900-40 (WI)
- Practice address
- 1701 Sharp Rd
Waterford, WI 53185-5214 - Phone
- (262) 534-8540
- NPI assigned
- Jan 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8900-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8900-40 | WI | Yes |
Addresses
Primary practice location
1701 Sharp Rd
Waterford, WI 53185-5214
Mailing address
1238 N Breezeland Rd
Oconomowoc, WI 53066-8736
Phone (262) 646-3167
Other providers in Waterford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. 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.