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Organization
F AND J INC
Active
Organization
F AND J INC
Active
Other names
SOUTHSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON R. FRANCK RPH (OWNER PHARMACIST)
(715) 845-3713
Entity
Organization
Contact information
Practice address
2106 GRAND AVE, WAUSAU, WI 54403-6912
(715) 845-3713
Mailing address
2106 GRAND AVE, WAUSAU, WI 54403-6912
(715) 845-3713
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8252042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33205000WI
—
WI
01
—
5122332
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/07/2006
Last updated
04/30/2009
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