# WAUPACA WOODS PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043269020
- **Authorized official:** KAREN M. STEDMAN (INSURANCE SPECIALIST)
- **Authorized official phone:** (715) 258-7621

## Contact information

- **Practice address:** 101 N WESTERN AVE, WAUPACA, WI 54981-2201
- **Practice address phone:** (715) 258-7621
- **Practice address fax:** (715) 258-6880
- **Mailing address:** 101 N WESTERN AVE, WAUPACA, WI 54981-2201
- **Mailing address phone:** (715) 258-7621
- **Mailing address fax:** (715) 258-6880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 7463 | WI | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 09/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33035600 | — | WI |
| 01 | — | 5116264 | NABP | WI |