# EDGERTON CHEMISTS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edgerton Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376189407
- **Authorized official:** SAIBABU APPALANENI (PRESIDENT)
- **Authorized official phone:** (608) 884-3308

## Contact information

- **Practice address:** 1011 N MAIN ST, EDGERTON, WI 53534-1325
- **Practice address phone:** (608) 884-3308
- **Practice address fax:** (608) 884-7725
- **Mailing address:** 1011 N MAIN ST, EDGERTON, WI 53534-1325
- **Mailing address phone:** (608) 884-3308
- **Mailing address fax:** (608) 884-7725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 11/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100098751 | — | WI |
