Provider Demographics
NPI:1457849663
Name:SCHULTZ PHARMACY INC
Entity Type:Organization
Organization Name:SCHULTZ PHARMACY INC
Other - Org Name:ADVANCED CARE PHARMACY OF OMRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRESSERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-685-6300
Mailing Address - Street 1:333 E HURON ST
Mailing Address - Street 2:
Mailing Address - City:OMRO
Mailing Address - State:WI
Mailing Address - Zip Code:54963-1403
Mailing Address - Country:US
Mailing Address - Phone:920-685-6300
Mailing Address - Fax:
Practice Address - Street 1:124 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WINNECONNE
Practice Address - State:WI
Practice Address - Zip Code:54986-9332
Practice Address - Country:US
Practice Address - Phone:920-685-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy