Organization
MIKE FLINT ENTERPRISES INC
Active
Other names
Mallatt's Homecare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FLINT (OWNER)
(608) 310-9922
Entity
Organization
Contact information
Practice address
3250 KINGSLEY WAY, MADISON, WI 53713-4628
(608) 310-9922
(608) 442-8490
Mailing address
3250 KINGSLEY WAY, MADISON, WI 53713-4628
(608) 310-9922
(608) 442-8490
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8532-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162165
PK
—
05
—
33272600
—
WI
Enumeration date
07/22/2016
Last updated
07/22/2016
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