Healthcare Provider Details

I. General information

NPI: 1538063342
Provider Name (Legal Business Name): PAULINA SLAVINSKAITE PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E HAMPTON RD
WHITEFISH BAY WI
53217-5850
US

IV. Provider business mailing address

240 E HAMPTON RD
WHITEFISH BAY WI
53217-5850
US

V. Phone/Fax

Practice location:
  • Phone: 414-962-7071
  • Fax:
Mailing address:
  • Phone: 414-962-7071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23685-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: