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Organization
GWIDT PHARMACY INC
Active
Organization
GWIDT PHARMACY INC
Active
Parent organization
GWIDT PHARMACY INC
Other names
Oconto Falls Pharmacy - LongTerm Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GWIDT PHARMACY INC
Authorized official
MR. TIMOTHY P STARRY (PRESIDENT)
(920) 848-3721
Entity
Organization
Contact information
Practice address
323 E HIGHLAND DR, OCONTO FALLS, WI 54154-1006
(920) 848-3721
Mailing address
PO BOX 129, OCONTO FALLS, WI 54154-0129
(920) 848-3721
(920) 848-4374
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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