# FIELD PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIELD PHARMACY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013092303
- **Authorized official:** JASON BUTTKE RPH (OWNER)
- **Authorized official phone:** (920) 361-1565

## Contact information

- **Practice address:** 135 W HURON ST, BERLIN, WI 54923-1596
- **Practice address phone:** (920) 361-1565
- **Practice address fax:** (920) 361-1582
- **Mailing address:** 135 W HURON ST, BERLIN, WI 54923-1596
- **Mailing address phone:** (920) 361-1565
- **Mailing address fax:** (920) 361-1582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8063-42 | WI | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 11/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2111899 | PK | — |
| 05 | — | 33095200 | — | WI |