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Organization
PHILLIPS REEDSBURG PHARMACY INC
Active
Organization
PHILLIPS REEDSBURG PHARMACY INC
Active
Other names
Phillips Nekoosa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE MACARDY RPH (PRESIDENT)
(608) 847-5949
Entity
Organization
Contact information
Practice address
232 MARKET ST, NEKOOSA, WI 54457-1122
(715) 886-3100
(715) 886-3105
Mailing address
PO BOX 136, MAUSTON, WI 53948-0136
(608) 847-5949
(608) 847-2670
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8957-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5131812
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/06/2009
Last updated
12/10/2009
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