Healthcare Provider Details

I. General information

NPI: 1629987607
Provider Name (Legal Business Name): EMILY GROCHOWSKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 SPRING ST
MOUNT PLEASANT WI
53405-1667
US

IV. Provider business mailing address

26470 HUMMINGBIRD DR
WATERFORD WI
53185-5513
US

V. Phone/Fax

Practice location:
  • Phone: 262-687-4308
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19439
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: