Wheaton Franciscan Pharmacy

Organization Active NPI Long Term Care Pharmacy · Brookfield, WI

NPI 1902990179 · NPPES record last updated Feb 14, 2011

Key facts

NPI
1902990179
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
License
9028-042 (WI)
Legal business name
WHEATON FRANCISCAN PHARMACY
Practice address
13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone
(414) 874-6200
Fax
(414) 874-6215
NPI assigned
Oct 3, 2006
Organization subpart
No

Authorized official

Name
Mr. Jay D Rice, RPH
Title
Vice President Pharmacy Services
Phone
(414) 874-6217

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Convenant Pharmacy (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 9028-042 WI Yes

Addresses

Primary practice location

13950 W Capitol Dr
Brookfield, WI 53005-2441

Mailing address

13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone (414) 874-6200

Other identifiers

IdentifierTypeStateIssuer
33063600MedicaidWI

Other providers in Brookfield, WI

All providers in Brookfield, WI · Long Term Care Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.