# KASSEL CITY DRUG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KASSEL CITY DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225117104
- **Authorized official:** GARY KASSEL (OWNER)
- **Authorized official phone:** (608) 685-4975

## Contact information

- **Practice address:** 200 S MAIN ST, ALMA, WI 54610-7722
- **Practice address phone:** (608) 685-3261
- **Practice address fax:** (608) 685-4568
- **Mailing address:** PO BOX 397, ALMA, WI 54610-0397
- **Mailing address phone:** (608) 685-3261
- **Mailing address fax:** (608) 685-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 906742 | WI | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 05/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5104954 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |