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

Whitefish Bay Prescription Center Ltd

Organization Pharmacist · NPI 1790793446

Whitefish Bay Prescription Center Ltd is a Pharmacist in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5320 N Port Washington Rd
Glendale, WI 53217
Phone: (414) 963-0811
Fax: (414) 963-0830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 7296 (WI)
Pharmacist Taxonomy 183500000X · Licence 8527 (WI)

Record details

NPI number1790793446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Waclawski — President · (414) 963-0811
Other names Ye Olde Pharmacy
NPI enumeratedAugust 4, 2006
Last updated in NPPESOctober 24, 2008
Mailing address5320 N Port Washington Rd, Glendale, WI 53217

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