# SAINT-MARK ENTERPRISES 1798 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE MEDICINE SHOPPE 1798
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619114931
- **Authorized official:** MARK MILLER (OFFICER / MANAGING PARTNER)
- **Authorized official phone:** (314) 518-2427

## Contact information

- **Practice address:** 300 SUPERIOR AVENUE, TOMAH, WI 54660
- **Practice address phone:** (608) 372-2101
- **Mailing address:** PO BOX 98, EUREKA, MO 63025-0098
- **Mailing address phone:** (314) 518-2427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | WI | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 01/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100002221 | — | WI |
| 01 | — | 5131355 | NCPDP \# | — |