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Organization
FMPS LLC
Active
Organization
FMPS LLC
Active
Other names
Peshtigo Health Care Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GUY STILLWELL (CEO)
(651) 270-0038
Entity
Organization
Contact information
Practice address
121 FRENCH ST, PESHTIGO, WI 54157-1215
(715) 582-4140
(715) 582-4196
Mailing address
121 FRENCH ST, PESHTIGO, WI 54157-1215
(715) 582-4140
(715) 582-4196
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9303-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150999
PK
—
Enumeration date
06/23/2005
Last updated
03/27/2015
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