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Organization
BELLICOSE INTERNATIONAL INC.
Active
Organization
BELLICOSE INTERNATIONAL INC.
Active
Other names
Wood River Pharmacy Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JOHN WITZANY R.PH. (MANAGER)
(715) 463-2525
Entity
Organization
Contact information
Practice address
122 W MADISON AVE, GRANTSBURG, WI 54840-7022
(715) 463-2525
(866) 868-7742
Mailing address
PO BOX 39, GRANTSBURG, WI 54840-0039
(715) 463-2525
(866) 868-7742
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33154200
—
WI
Enumeration date
05/21/2019
Last updated
09/30/2026
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