Healthcare Provider Details
I. General information
NPI: 1811078652
Provider Name (Legal Business Name): UNION SERV-U PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
709 W OKLAHOMA AVE
MILWAUKEE WI
53215-4719
US
IV. Provider business mailing address
709 W OKLAHOMA AVE
MILWAUKEE WI
53215-4719
US
V. Phone/Fax
- Phone: 414-481-8170
- Fax: 414-481-4258
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 7063042 |
| License Number State | WI |
VIII. Authorized Official
Name:
KYLE
BEYER
Title or Position: OWNER
Credential:
Phone: 414-232-4103