Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicolet Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1851321566

Nicolet Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Lakewood, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15481 Commercial Rd
Lakewood, WI 54138-9677
Phone: (715) 276-3646
Fax: (715) 276-9568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 757642 (WI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1851321566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Donaldson — Owner · (715) 276-3646
Other names Nicolet Pharmacy; Nicolet Pharmacy
NPI enumeratedJuly 5, 2006
Last updated in NPPESOctober 10, 2019
Mailing address15481 Commercial Rd, Lakewood, WI 54138-9677

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