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

Providence Pharmacy & Wellness

Organization Pharmacy · NPI 1245080860

Providence Pharmacy & Wellness is a Pharmacy in Glendale, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2500 W Silver Spring Dr
Glendale, WI 53209-4218
Phone: (414) 400-0104
Fax: (414) 400-0107
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X

Record details

NPI number1245080860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostian Akpor-Mensah — Managing Pharmacist · (414) 305-7131
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address1613 E Menlo Blvd, Shorewood, WI 53211-2249

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