# MORTON DRUG CO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MORTON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275622953
- **Authorized official:** JEFFREY BLANK (VP CORPORATE SERVICES)
- **Authorized official phone:** (920) 727-8882

## Contact information

- **Practice address:** 312 RACINE ST, MENASHA, WI 54952-2337
- **Practice address phone:** (920) 727-3846
- **Practice address fax:** (920) 727-3870
- **Mailing address:** PO BOX 778, NEENAH, WI 54957-0778
- **Mailing address phone:** (920) 727-3853
- **Mailing address fax:** (920) 727-3867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8129 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 09/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33177800 | — | WI |
| 01 | — | 5107277 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |