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Organization
CPI MENOMONIE LLC
Active
Organization
CPI MENOMONIE LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WINGER (OWNER - PRESIDENT)
(715) 861-4422
Entity
Organization
Contact information
Practice address
1302 STOUT RD, MENOMONIE, WI 54751-2979
(715) 309-4329
(715) 309-4326
Mailing address
13 E SPRUCE ST, SUITE 102, CHIPPEWA FALLS, WI 54729-2579
(715) 861-4422
(715) 861-7150
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9288-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043217
—
WI
01
—
2148740
PK
—
Enumeration date
10/29/2014
Last updated
02/27/2017
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