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Organization
MARSHALL PHARMACY LLC
Active
Organization
MARSHALL PHARMACY LLC
Active
Other names
Marshall Pharmacy Health Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J. CALDWELL R.PH. (OWNER/MEMBER)
(608) 438-4496
Entity
Organization
Contact information
Practice address
701 W MAIN ST, MARSHALL, WI 53559-8982
(608) 438-4496
(608) 438-4496
Mailing address
N7103 STONEY CREEK RD, WATERLOO, WI 53594-9415
(608) 438-4496
(608) 438-4496
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
895342
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
895342
STATE LICENSE NUMBER
WI
Enumeration date
10/01/2009
Last updated
10/01/2009
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