# LYNJA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daly Drug Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639548142
- **Authorized official:** JASON GRUSZYNSKI (PRESIDENT)
- **Authorized official phone:** (715) 423-3400

## Contact information

- **Practice address:** 3215 8TH ST S STE 101, WISCONSIN RAPIDS, WI 54494-6564
- **Practice address phone:** (715) 423-3401
- **Practice address fax:** (715) 432-5523
- **Mailing address:** 3215 8TH ST S STE 101, WISCONSIN RAPIDS, WI 54494-6564
- **Mailing address phone:** (715) 423-3401
- **Mailing address fax:** (715) 432-5523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 9350-42 | WI | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 02/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100049507 | — | WI |
| 01 | — | 2154142 | PK | — |