# CLINIC PHARMACY OF WEST SALEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinic Pharmacy Gifts & More
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093804122
- **Authorized official:** MR. GEORGE F CHRISTIANSEN RPH (PRESIDENT)
- **Authorized official phone:** (608) 786-2828

## Contact information

- **Practice address:** 126 LEONARD ST S, WEST SALEM, WI 54669-1621
- **Practice address phone:** (608) 786-2828
- **Practice address fax:** (608) 786-2845
- **Mailing address:** 126 LEONARD ST S, WEST SALEM, WI 54669-1621
- **Mailing address phone:** (608) 786-2828
- **Mailing address fax:** (608) 786-2845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9040-42 | WI | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 01/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33189400 | — | WI |