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Organization
NORTHBAY PHARMACY, INC
Active
Organization
NORTHBAY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RAY DREGER R.PH. (PHARMACIST)
(715) 453-5996
Entity
Organization
Contact information
Practice address
686 N 4TH ST, P.O. 228, TOMAHAWK, WI 54487-2123
(715) 453-5996
(715) 453-4508
Mailing address
686 N 4TH ST, P.O. 228, TOMAHAWK, WI 54487-2123
(715) 453-5996
(715) 453-4508
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6710-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33033200
—
WI
Enumeration date
09/14/2006
Last updated
07/02/2012
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