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Organization
WHITE CROSS PHARMACY INC
Active
Organization
WHITE CROSS PHARMACY INC
Active
Other names
White Cross Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PECHACEK (PRESIDENT)
(715) 762-3283
Entity
Organization
Contact information
Practice address
314 SILVER ST, HURLEY, WI 54534-1254
(715) 561-5666
(715) 561-5654
Mailing address
138 2ND AVE N, PARK FALLS, WI 54552-1214
(715) 762-3283
(715) 762-2980
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8951-42
WI
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122378
PK
—
Enumeration date
08/10/2006
Last updated
12/03/2015
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