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Organization
STRATTON DRUG INC
Active
Organization
STRATTON DRUG INC
Active
Other names
STRATTON DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KEMPFERT (PRESIDENT)
(715) 258-7057
Entity
Organization
Contact information
Practice address
107 N MAIN ST, WAUPACA, WI 54981-1542
(715) 258-7057
(715) 258-0428
Mailing address
107 N MAIN ST, WAUPACA, WI 54981-1542
(715) 258-7057
(715) 258-0428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
554342
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113192
PK
—
05
—
33105300
—
WI
Enumeration date
08/10/2006
Last updated
06/27/2015
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