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Organization
KASSEL CITY DRUG LLC
Active
Organization
KASSEL CITY DRUG LLC
Active
Other names
KASSEL CITY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KASSEL (OWNER)
(608) 685-4975
Entity
Organization
Contact information
Practice address
200 S MAIN ST, ALMA, WI 54610-7722
(608) 685-3261
(608) 685-4568
Mailing address
PO BOX 397, ALMA, WI 54610-0397
(608) 685-3261
(608) 685-4568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
906742
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5104954
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/03/2006
Last updated
05/02/2011
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