Healthcare Provider Details

I. General information

NPI: 1215942842
Provider Name (Legal Business Name): DRUGS R US
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10520 N BAEHR RD STE G
MEQUON WI
53092-6701
US

IV. Provider business mailing address

3512 N OAKLAND AVE
MILWAUKEE WI
53211-2701
US

V. Phone/Fax

Practice location:
  • Phone: 414-982-2160
  • Fax: 414-332-3364
Mailing address:
  • Phone: 414-982-2160
  • Fax: 414-332-3364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number8553-42
License Number StateWI

VIII. Authorized Official

Name: ANNA SHTIVELBERG
Title or Position: PRESIDENT
Credential:
Phone: 414-982-2160