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Organization
MAPLEWOOD OF SAUK PRAIRIE
Active
Organization
MAPLEWOOD OF SAUK PRAIRIE
Active
Other names
MAPLEWOOD OF SAUK PRAIRIE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CARL HARRIS R.PH. (STAFF PHARMACIST)
(608) 644-9265
Entity
Organization
Contact information
Practice address
245 SYCAMORE STEET, SAUK CITY, WI 53583
(608) 644-9265
(608) 643-2629
Mailing address
245 SYCAMORE STEET, SAUK CITY, WI 53583
(608) 644-9265
(608) 643-2629
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113946
PK
—
05
—
33204100
—
WI
Enumeration date
08/24/2005
Last updated
10/24/2018
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