# GLANDER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GLANDER PRESCRIPTIONS PLUS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801397914
- **Authorized official:** ROBERT BOUCHE (PRESIDENT)
- **Authorized official phone:** (920) 459-2755

## Contact information

- **Practice address:** 3529 SUPERIOR AVE, SHEBOYGAN, WI 53081-1865
- **Practice address phone:** (920) 459-2755
- **Practice address fax:** (920) 803-7519
- **Mailing address:** 3529 SUPERIOR AVE, SHEBOYGAN, WI 53081-1865
- **Mailing address phone:** (920) 459-2755
- **Mailing address fax:** (920) 803-7519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 855742 | WI | Yes |

## Other

- **Enumeration date:** 02/23/2018
- **Last updated:** 02/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176009 | PK | — |
| 05 | — | 33158600 | — | WI |