OrganizationActive
Guardian Pharmacy of Madison, LLC
NPI 1962999805 · Long Term Care Pharmacy · Menomonee Falls, WI
Provider details
- NPI number
- 1962999805
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Guardian Pharmacy, LLC
- Organization subpart
- Yes
- Authorized official
- Jeff Tuch, Vp-Purchasing & Payor Relations(404) 532-5011
- License
- 9503-42 (WI)
Specialties & taxonomies
Suppliers
Practice location
N85 W15882 Appleton Ave
Menomonee Falls, WI 53051-3082
Phone: (262) 437-0031
Fax: (262) 255-2058
Approximate (ZIP-level) locationGet directions
Mailing address
N85 W15882 Appleton Ave
Menomonee Falls, WI 53051-3082
Other names (DBA / former)
- Doing business as
- Mallatt'S Home Care Pharmacy
Registry dates
- Enumerated
- 2018-04-17
- Last updated
- 2018-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.