OrganizationActive
Gwidt Pharmacy Inc
NPI 1558092429 · Long Term Care Pharmacy · Wittenberg, WI
Provider details
- NPI number
- 1558092429
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shane Resch, Vice-President(715) 253-2164
Specialties & taxonomies
Suppliers
Practice location
203 E Westgor Ave
Wittenberg, WI 54499-9174
Phone: (715) 253-2164
Fax: (715) 253-3030
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 253
Wittenberg, WI 54499-0253
Registry dates
- Enumerated
- 2022-06-22
- Last updated
- 2022-06-22
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.