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Organization
MARSHALL PHARMACY
Active
Organization
MARSHALL PHARMACY
Active
Other names
Marshall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCGLYNN (OWNER)
(608) 873-3244
Entity
Organization
Contact information
Practice address
701 W MAIN ST, MARSHALL, WI 53559-8982
(608) 655-8600
Mailing address
701 W MAIN ST, MARSHALL, WI 53559-8982
(608) 655-8600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9039-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5132383
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/15/2010
Last updated
10/15/2010
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