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Organization
ALLEN C LANG
Active
Organization
ALLEN C LANG
Active
Other names
MEDFORD VALU-RITE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN C LANG R.PH. (OWNER/PHARMACIST)
(715) 748-4477
Entity
Organization
Contact information
Practice address
210 S MAIN ST, MEDFORD, WI 54451-1843
(715) 748-4477
(715) 748-5848
Mailing address
210 S MAIN ST, MEDFORD, WI 54451-1843
(715) 748-4477
(715) 748-5848
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6494-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33040200
—
WI
Enumeration date
01/15/2008
Last updated
01/16/2008
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