# SPRING GREEN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629162268
- **Authorized official:** ALISHA M HAHN R.PH. (OWNER)
- **Authorized official phone:** (608) 588-2541

## Contact information

- **Practice address:** 208 E JEFFERSON ST, SPRING GREEN, WI 53588-8002
- **Practice address phone:** (608) 588-2541
- **Mailing address:** 208 E JEFFERSON ST, SPRING GREEN, WI 53588-8002
- **Mailing address phone:** (608) 588-2541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6137-042 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | 6137 | WI | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/08/2016