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Organization
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Active
Organization
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Active
Other names
ThedaCare Apothecary-Shawano
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-7300
(920) 993-5031
Mailing address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-7300
(920) 993-5031
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/17/2021
Last updated
01/03/2024
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