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Organization
HOGDEN ENTERPRISES INC
Active
Organization
HOGDEN ENTERPRISES INC
Active
Other names
Blair Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BEN MOLSTAD (DIRECTOR OF PHARMACY)
(608) 989-2919
Entity
Organization
Contact information
Practice address
125 W BROADWAY ST, BLAIR, WI 54616-9367
(608) 989-2919
(608) 989-2837
Mailing address
PO BOX 186, BLAIR, WI 54616-0186
(608) 989-2919
(608) 989-2837
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
7366042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33196800
—
WI
Enumeration date
03/12/2018
Last updated
06/16/2018
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