# MARSHLAND DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARSHLAND COMPOUNDING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841399730
- **Authorized official:** STACI WILLIAMS PHARMD (MANAGER)
- **Authorized official phone:** (920) 387-7800

## Contact information

- **Practice address:** 1028 HORICON ST, MAYVILLE, WI 53050-1429
- **Practice address phone:** (920) 387-7800
- **Practice address fax:** (920) 387-7809
- **Mailing address:** 1028 HORICON ST, MAYVILLE, WI 53050-1429
- **Mailing address phone:** (920) 387-7800
- **Mailing address fax:** (920) 387-7809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8060042 | WI | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5126378 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |