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Organization
SMILING DOG INVESTMENTS INC
Active
Organization
SMILING DOG INVESTMENTS INC
Active
Other names
Sheboygan Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAMALA JORSTAD (RPH)
(920) 254-7270
Entity
Organization
Contact information
Practice address
577 S TAYLOR DR, SHEBOYGAN, WI 53081-4234
(920) 459-7467
(920) 459-8851
Mailing address
577 S TAYLOR DR, SHEBOYGAN, WI 53081-4234
(920) 459-7467
(920) 459-8851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9088-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131369
PK
—
Enumeration date
07/20/2011
Last updated
04/05/2016
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