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Organization
SNITEMAN INC
Active
Organization
SNITEMAN INC
Active
Other names
SNITEMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN LEA WEILER-NYTES PHARMD (PHARMACIST IN CHARGE)
(715) 743-3500
Entity
Organization
Contact information
Practice address
N3708 RIVER AVE STE A, NEILLSVILLE, WI 54456-7218
(715) 743-3500
(715) 743-5060
Mailing address
N3708 RIVER AVE STE A, NEILLSVILLE, WI 54456-7218
(715) 743-3500
(715) 743-5060
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111747
PK
—
05
—
33166700
—
WI
01
—
9672
STATE OF WISCONSIN
WI
Enumeration date
08/18/2006
Last updated
06/18/2021
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