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Organization
DEGEN BERGLUND INC
Active
Organization
DEGEN BERGLUND INC
Active
Other names
DEGEN BERGLUND ONALASKA
Organization subpart
No
Provider details
NPI number
Authorized official
JON BINGOL PHARMD (DIRECTOR)
(608) 775-8526
Entity
Organization
Contact information
Practice address
111 SAND LAKE RD, ONALASKA, WI 54650-2760
(608) 775-8595
(608) 775-8518
Mailing address
PO BOX 3157, LA CROSSE, WI 54602-3157
(608) 775-8500
(608) 775-8569
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
822442
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110036
PK
—
05
—
33262400
—
WI
Enumeration date
06/28/2006
Last updated
04/05/2016
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