# HAWKEYE ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olsen & Son Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578644639
- **Authorized official:** MR. THOMAS W MOORE R.PH. (OWNER)
- **Authorized official phone:** (715) 349-2221

## Contact information

- **Practice address:** 24106 STATE ROAD 35, SIREN, WI 54872-0000
- **Practice address phone:** (715) 349-2221
- **Practice address fax:** (715) 349-7350
- **Mailing address:** 24106 STATE ROAD 35, SIREN, WI 54872
- **Mailing address phone:** (715) 349-2221
- **Mailing address fax:** (715) 349-7350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 8102-042 | WI | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 04/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33259100 | — | WI |
| 05 | — | 41725000 | — | WI |
| 01 | — | 5116024 | NCPDP | WI |
