# OWEN-WITHEE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Owen-Withee Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932510427
- **Authorized official:** PAIGE WILES (ADMIN ASSISTANT)
- **Authorized official phone:** (715) 418-3478

## Contact information

- **Practice address:** 514 DIVISION ST, WITHEE, WI 54498-9411
- **Practice address phone:** (715) 229-2020
- **Practice address fax:** (715) 229-2950
- **Mailing address:** PO BOX 123, WITHEE, WI 54498-0123
- **Mailing address phone:** (715) 229-2074
- **Mailing address fax:** (715) 229-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9261-42 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/19/2014
- **Last updated:** 10/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100037997 | — | WI |
| 01 | — | 2145811 | PK | — |