Healthcare Provider Details
I. General information
NPI: 1952266124
Provider Name (Legal Business Name): UNION SERV-U PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2025
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:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KYLE
BEYER
Title or Position: OWNER
Credential:
Phone: 414-232-4103