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Organization
CROSS PLAINS PHARMACY LLC
Active
Organization
CROSS PLAINS PHARMACY LLC
Active
Other names
CROSS PLAINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KOSTECKI RPH (OWNER)
(608) 798-3031
Entity
Organization
Contact information
Practice address
1840 MAIN ST, CROSS PLAINS, WI 53528-9473
(608) 798-3031
(608) 798-3932
Mailing address
PO BOX 215, CROSS PLAINS, WI 53528-0215
(608) 798-3031
(608) 798-3932
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
829842
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112693
PK
—
05
—
33268700
—
WI
Enumeration date
08/20/2006
Last updated
02/20/2025
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