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Organization
PHARMACARE LTD
Active
Organization
PHARMACARE LTD
Active
Other names
KONSELLA HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY E LEVIN (PRESIDENT)
(715) 833-6770
Entity
Organization
Contact information
Practice address
212 BAY STREET, CHIPPEWA FALLS, WI 54729-2491
(715) 723-9177
Mailing address
212 BAY STREET, CHIPPEWA FALLS, WI 54729-2491
(715) 723-9177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36222000
—
WI
01
—
5103356
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/28/2006
Last updated
09/26/2016
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