Providence Family Pharmacy LLC
Providence Family Pharmacy LLC is a Pharmacy in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2500 W Silver Spring DrGlendale, WI 53209-4218
Phone: (414) 885-0550
Fax: (414) 885-0552
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 9428-42 (WI) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1386190247 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abiola Okusanya — Manager · (414) 885-0550 |
| Other names | Providence Family Pharmacy Llc; Providence Family Pharmacy Llc |
| NPI enumerated | August 31, 2016 |
| Last updated in NPPES | February 20, 2020 |
| Certification date | February 20, 2020 |
| Mailing address | 2500 W Silver Spring Dr, Glendale, WI 53209-4218 |
Other providers in Glendale
-
Aurora Pharmacy Inc
6969 N Port Washington Rd Ste B120, Glendale, WI 53217-3962 · (414) 540-1194
-
Medpoint Pharmacy
2501 W Silver Spring Dr # 5, Glendale, WI 53209-4217 · (414) 461-6005
-
Providence Pharmacy & Wellness
2500 W Silver Spring Dr, Glendale, WI 53209-4218 · (414) 400-0104