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Contact Information

PRUNELLA PHARMACY LLC
17135 W CAPITOL DR
STE 110
BROOKFIELD, WI53005
 Phone: 262-420-9525
 Fax: 414-296-8456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRUNELLA PHARMACY LLC

NPI # 1831073022
LBN Legal business name PRUNELLA PHARMACY LLC
Authorized official FATMA SAAD - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2025
Last updated 11/25/2025 - About 6 months ago
Identifiers
WI Other 10157-42 STATE PHARMACY LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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