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Organization
HOWARD A BACKE & THOMAS M ONAN PTR
Active
Organization
HOWARD A BACKE & THOMAS M ONAN PTR
Active
Other names
BACKES APOTHECARY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD BACKE (OWNER)
(715) 365-5020
Entity
Organization
Contact information
Practice address
114 N BROWN ST, RHINELANDER, WI 54501-3162
(715) 365-5020
(715) 365-5029
Mailing address
114 N BROWN ST, RHINELANDER, WI 54501-3162
(715) 365-5020
(715) 365-5029
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
6043-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113921
PK
—
05
—
33011600
—
WI
Enumeration date
08/10/2006
Last updated
04/13/2016
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