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Contact Information

NICHOLAS L SMITH PHARMACY LLC
1914 FREEDOM RD
LITTLE CHUTE, WI54140-1294
 Phone: 920-788-8888
 Fax: 920-788-8883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NICHOLAS L SMITH PHARMACY LLC

NPI Number 1851724637
LBN Legal business name NICHOLAS L SMITH PHARMACY LLC
Authorized official NICHOLAS SMITH - (OWNER / PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2013
Last updated 01/07/2026 - About 5 months ago
Identifiers
WI License # 9226-42
WI Medicaid 1851724637
Other 5133905 NCPDP
WI Other 10146-42 STATE
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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