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Organization
MORTON DRUG CO INC
Active
Organization
MORTON DRUG CO INC
Active
Other names
Morton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MORTON RPH (V.P. OPERATIONS)
(920) 882-6333
Entity
Organization
Contact information
Practice address
2500 E CAPITOL DR STE 1500, APPLETON, WI 54911-8735
(920) 882-6333
(920) 882-6633
Mailing address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 882-6333
(920) 882-6633
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8948-042
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053645986
—
WI
01
—
5131759
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/24/2009
Last updated
09/08/2010
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