# BROWNSTONE RX

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

## Provider details

- **NPI number:** 1568522704
- **Authorized official:** DELORA PUFALL (PIC/OWNER)
- **Authorized official phone:** (715) 373-5588

## Contact information

- **Practice address:** 114 WEST BAYFIELD STREET, WASHBURN, WI 54891
- **Practice address phone:** (715) 373-5588
- **Practice address fax:** (715) 373-0481
- **Mailing address:** PO BOX 40, WASHBURN, WI 54891-0040
- **Mailing address phone:** (715) 373-5588
- **Mailing address fax:** (715) 373-0481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 7456-042 | WI | — |
| 3336C0003X | Community/Retail Pharmacy | 9451-42 | WI | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 12/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113837 | PK | — |
| 05 | — | 33016300 | — | WI |
| 01 | — | 5113472 | NCPDP PROVIDER ID | — |