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Organization
SMARTSCRIPT PHARMACY LLC
Active
Organization
SMARTSCRIPT PHARMACY LLC
Active
Other names
SmartScript Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAN LEBEN BUSINESS (OWNER)
(844) 476-2781
Entity
Organization
Contact information
Practice address
4041 STATE ROAD 91 STE B, OSHKOSH, WI 54904-9218
(844) 476-2781
(844) 245-7075
Mailing address
4041 STATE ROAD 91 STE B, OSHKOSH, WI 54904-9218
(844) 476-2781
(844) 245-7075
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
9267-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058597
—
WI
01
—
2146187
PK
—
Enumeration date
07/24/2007
Last updated
02/27/2017
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