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Organization
BALLWEG FAMILY PHARMACY INC
Active
Organization
BALLWEG FAMILY PHARMACY INC
Active
Other names
BALLWEG FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BALLWEG RPH (OWNER AND PHARMACIST)
(608) 643-6500
Entity
Organization
Contact information
Practice address
1200 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-6500
(608) 643-6533
Mailing address
1200 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-6500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8489-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110297
PK
—
Enumeration date
07/03/2006
Last updated
10/06/2023
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