# HOWARD A BACKE & THOMAS M ONAN PTR

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

## Provider details

- **NPI number:** 1700897204
- **Authorized official:** HOWARD BACKE (OWNER)
- **Authorized official phone:** (715) 365-5020

## Contact information

- **Practice address:** 114 N BROWN ST, RHINELANDER, WI 54501-3162
- **Practice address phone:** (715) 365-5020
- **Practice address fax:** (715) 365-5029
- **Mailing address:** 114 N BROWN ST, RHINELANDER, WI 54501-3162
- **Mailing address phone:** (715) 365-5020
- **Mailing address fax:** (715) 365-5029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6043-42 | WI | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 04/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113921 | PK | — |
| 05 | — | 33011600 | — | WI |