Organization
FIELD PHARMACY LLC
Active
Other names
FIELD PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BUTTKE RPH (OWNER)
(920) 361-1565
Entity
Organization
Contact information
Practice address
135 W HURON ST, BERLIN, WI 54923-1596
(920) 361-1565
(920) 361-1582
Mailing address
135 W HURON ST, BERLIN, WI 54923-1596
(920) 361-1565
(920) 361-1582
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8063-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111899
PK
—
05
—
33095200
—
WI
Enumeration date
10/26/2006
Last updated
11/16/2015
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