# DREIER PHARMACY AND GIFT SHOP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366067654
- **Authorized official:** TIMOTHY DREIER RPH (OWNER/MANAGER)
- **Authorized official phone:** (715) 526-2011

## Contact information

- **Practice address:** 117 S MAIN ST, SHAWANO, WI 54166-2357
- **Practice address phone:** (715) 526-2011
- **Practice address fax:** (715) 524-6377
- **Mailing address:** 117 S MAIN ST, SHAWANO, WI 54166-2357
- **Mailing address phone:** (715) 526-2011
- **Mailing address fax:** (715) 524-6377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2020
- **Last updated:** 06/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33055100 | — | WI |