PROVIDENCE FAMILY PHARMACY LLC

NPI: 1386190247 · Organization · Active

Primary Specialty

Community/Retail Pharmacy
Pharmacy — Community/Retail Pharmacy

Practice Location

2500 W SILVER SPRING DR
GLENDALE, WI 53209-4218 Map ↗
Phone: 414-885-0550
Fax: 414-885-0552

All Specialties & Licenses

  • Community/Retail Pharmacy Primary — Community/Retail Pharmacy (license: 9428-42, WI)
  • Pharmacy
  • Long Term Care Pharmacy — Long Term Care Pharmacy

NPI Registration

Enumerated: 2016-08-31

Last CMS Update: 2020-02-20