# MEGS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRIVITZ PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679542062
- **Authorized official:** EZRA GRUSZYNSKI PHARMD (OWNER PRESIDENT)
- **Authorized official phone:** (715) 854-7425

## Contact information

- **Practice address:** 710 MAIN AVE, CRIVITZ, WI 54114-1664
- **Practice address phone:** (715) 854-7425
- **Practice address fax:** (715) 854-7326
- **Mailing address:** PO BOX 488, CRIVITZ, WI 54114-0488
- **Mailing address phone:** (715) 854-7425
- **Mailing address fax:** (715) 854-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 852742 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2114513 | PK | — |
| 05 | — | 33285100 | — | WI |