# ABBOTSFORD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Abbotsford Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629530837
- **Authorized official:** PAIGE WILES (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (715) 418-3478

## Contact information

- **Practice address:** 206 N 4TH ST, ABBOTSFORD, WI 54405-9413
- **Practice address phone:** (715) 715-7216
- **Practice address fax:** (715) 316-0021
- **Mailing address:** 206 N 4TH ST, ABBOTSFORD, WI 54405-9413
- **Mailing address phone:** (715) 721-6068
- **Mailing address fax:** (715) 316-0021

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 10/04/2024