PROVIDENCE PHARMACY & WELLNESS

NPI: 1245080860 · Organization · Active

Primary Specialty

Pharmacy

Practice Location

2500 W SILVER SPRING DR
GLENDALE, WI 53209-4218 Map ↗
Phone: 414-400-0104
Fax: 414-400-0107

Mailing Address

1613 E MENLO BLVD
SHOREWOOD, WI 53211-2249 Map ↗
Phone: 610-841-6265

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Pharmacy Primary

NPI Registration

Enumerated: 2024-03-26

Last CMS Update: 2024-03-26