# WHITE CROSS PHARMACY INC

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

## Provider details

- **NPI number:** 1497766232
- **Authorized official:** MARK PECHACEK (PRESIDENT)
- **Authorized official phone:** (715) 762-3283

## Contact information

- **Practice address:** 314 SILVER ST, HURLEY, WI 54534-1254
- **Practice address phone:** (715) 561-5666
- **Practice address fax:** (715) 561-5654
- **Mailing address:** 138 2ND AVE N, PARK FALLS, WI 54552-1214
- **Mailing address phone:** (715) 762-3283
- **Mailing address fax:** (715) 762-2980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8951-42 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 12/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2122378 | PK | — |