# CPI MENOMONIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medicine Shoppe Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639574932
- **Authorized official:** PAUL WINGER (OWNER - PRESIDENT)
- **Authorized official phone:** (715) 861-4422

## Contact information

- **Practice address:** 1302 STOUT RD, MENOMONIE, WI 54751-2979
- **Practice address phone:** (715) 309-4329
- **Practice address fax:** (715) 309-4326
- **Mailing address:** 13 E SPRUCE ST, SUITE 102, CHIPPEWA FALLS, WI 54729-2579
- **Mailing address phone:** (715) 861-4422
- **Mailing address fax:** (715) 861-7150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9288-42 | WI | Yes |

## Other

- **Enumeration date:** 10/29/2014
- **Last updated:** 02/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100043217 | — | WI |
| 01 | — | 2148740 | PK | — |