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Organization
MORTON DRUG CO INC
Active
Organization
MORTON DRUG CO INC
Active
Other names
MORTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BLANK (VP CORPORATE SERVICES)
(920) 727-8882
Entity
Organization
Contact information
Practice address
N1788 LILY OF THE VALLEY DR, SUITE A, GREENVILLE, WI 54942-9103
(920) 757-3096
(920) 757-3099
Mailing address
PO BOX 778, NEENAH, WI 54957-0778
(920) 727-3853
(920) 727-3867
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8678
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33290200
—
WI
01
—
5129398
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/13/2006
Last updated
09/08/2010
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