Provider Demographics
NPI:1154865541
Name:SCHULTZ PHARMACY, INC
Entity Type:Organization
Organization Name:SCHULTZ PHARMACY, INC
Other - Org Name:SCHULTZ PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRESSERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-233-2151
Mailing Address - Street 1:220 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-4815
Mailing Address - Country:US
Mailing Address - Phone:920-233-2151
Mailing Address - Fax:920-233-6333
Practice Address - Street 1:220 N MAIN ST
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-4815
Practice Address - Country:US
Practice Address - Phone:920-233-2151
Practice Address - Fax:920-233-6333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6167-42333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy