# SKJ INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DOOR CREEK PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982740544
- **Authorized official:** KEVIN HOEY (OWNER)
- **Authorized official phone:** (608) 839-3784

## Contact information

- **Practice address:** 50 N MAIN ST, DEERFIELD, WI 53531-9353
- **Practice address phone:** (608) 764-8111
- **Practice address fax:** (608) 764-5556
- **Mailing address:** 431 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9385
- **Mailing address phone:** (608) 839-3784
- **Mailing address fax:** (608) 839-3786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 838342 | WI | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 09/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33274500 | — | WI |
| 01 | — | 5127813 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |