Organization directory

<UNAVAIL> fax numbers

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3535 30TH AVE, KENOSHA, WI, 53144-1632
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1790778967
Practice address
3535 30TH AVE, KENOSHA, WI, 53144-1632
Telephone
(262) 658-8124
Provider specialty
Community / retail pharmacy 3336C0003X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(262) 564-8667
NPI 1790778967

3535 30TH AVE, KENOSHA, WI, 53144-1632

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source