NPI 1245080860
Providence Pharmacy & Wellness
Practice location
- Address
- 2500 W Silver Spring Dr, Glendale, WI 53209-4218
- Phone
- (414) 400-0104
- Fax
- (414) 400-0107
- Mailing address
- 1613 E Menlo Blvd, Shorewood, WI 53211-2249
Authorised official
- Name
- Rostian N Akpor-Mensah
- Title
- Managing Pharmacist
- Phone
- (414) 305-7131
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1245080860
- Entity type
- Organization
- NPI issued
- 26 Mar 2024
- Record last updated
- 26 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.