NPI: 1962564583 · WAUWATOSA, WI 53226 · Community/Retail Pharmacy · NPI assigned 12/14/2006
| Authorized Official | WALSH, TIMOTHY (PRESIDENT) |
| Parent Organization | HAYWARD PHARMACY INC DBA SWAN SERV U PHARM |
| NPI Enumeration Date | 12/14/2006 |
Other providers sharing the same authorized official: WALSH, TIMOTHY
| Provider | City | State | Total Paid |
|---|---|---|---|
| COUNTY OF SCOTT | SHAKOPEE | MN | $1.55M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 182 | $5K |
| 2022 | 49 | $1K |
| 2023 | 18 | $1K |