# RED CROSS PHARMACY

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

## Provider details

- **NPI number:** 1063445278
- **Authorized official:** MR. DAVID H HOPP RPH (PHARMACY MANAGER)
- **Authorized official phone:** (715) 635-2117

## Contact information

- **Practice address:** 146 WALNUT STREET, SPOONER, WI 54801
- **Practice address phone:** (715) 635-2117
- **Practice address fax:** (715) 635-8135
- **Mailing address:** PO BOX 339, SPOONER, WI 54801
- **Mailing address phone:** (715) 635-2117
- **Mailing address fax:** (715) 635-8135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 4508 | WI | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33104200 | — | WI |