OrganizationActive
Badger Acquisition of Wisconsin, LLC
NPI 1568568913 · Long Term Care Pharmacy · Milwaukee, WI
Provider details
- NPI number
- 1568568913
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jonathan Kukulski, Corporate Secretary(513) 719-2600
- License
- 032006914 (WI)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
8949 N 97th St
Milwaukee, WI 53224-1695
Phone: (414) 354-8554
Fax: (414) 354-8521
Approximate (ZIP-level) locationGet directions
Mailing address
201 E 4th St
Cincinnati, OH 45202-4248
Other names (DBA / former)
- Doing business as
- Luther Haven Pharmacy
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2014-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.