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Organization
PARK PHARMACY INC
Active
Organization
PARK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PECHACEK (OWNER)
(715) 762-3248
Entity
Organization
Contact information
Practice address
138 2ND AVE N, PARK FALLS, WI 54552-1214
(715) 762-3248
(715) 762-2980
Mailing address
138 2ND AVE N, PARK FALLS, WI 54552-1214
(715) 762-3248
(715) 762-2980
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7644-042
WI
3336L0003X
Long Term Care Pharmacy
7643-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33219200
—
WI
Enumeration date
05/31/2005
Last updated
09/12/2017
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