# J & C STOCK SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE SHOPPE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235207036
- **Authorized official:** MRS. CYNTHIA MARIE STOCK RPH (OWNER/RPH)
- **Authorized official phone:** (715) 682-2701

## Contact information

- **Practice address:** 510 ELLIS AVE, ASHLAND, WI 54806-1632
- **Practice address phone:** (715) 682-2701
- **Practice address fax:** (715) 682-2556
- **Mailing address:** 510 ELLIS AVE, ASHLAND, WI 54806-1632
- **Mailing address phone:** (715) 682-2701
- **Mailing address fax:** (715) 682-2556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8841042 | WI | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 03/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33285300 | — | WI |
| 01 | — | 5118876 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |