# STRATTON DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STRATTON DRUG STORE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083625586
- **Authorized official:** RICHARD KEMPFERT (PRESIDENT)
- **Authorized official phone:** (715) 258-7057

## Contact information

- **Practice address:** 107 N MAIN ST, WAUPACA, WI 54981-1542
- **Practice address phone:** (715) 258-7057
- **Practice address fax:** (715) 258-0428
- **Mailing address:** 107 N MAIN ST, WAUPACA, WI 54981-1542
- **Mailing address phone:** (715) 258-7057
- **Mailing address fax:** (715) 258-0428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 554342 | WI | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113192 | PK | — |
| 05 | — | 33105300 | — | WI |