# MARSHLAND PHARMACIES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MARSHLAND PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124033758
- **Authorized official:** JOHN SUTTER (CO OWNER/PHARM MGR)
- **Authorized official phone:** (920) 356-0040

## Contact information

- **Practice address:** 705 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3053
- **Practice address phone:** (920) 356-0040
- **Practice address fax:** (920) 356-0056
- **Mailing address:** 705 S UNIVERSITY AVE, SUITE 180, BEAVER DAM, WI 53916-3053
- **Mailing address phone:** (920) 356-0040
- **Mailing address fax:** (920) 356-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8546042 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2110854 | PK | — |
| 05 | — | 33287900 | — | WI |