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Organization

LUCK PHARMACY INC

Active
Other names
Luck Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JENNA CLEMENSON (PHARMACY MANAGER)
(715) 472-2122
Entity
Organization

Contact information

Practice address
132 S MAIN ST, LUCK, WI 54853
(715) 472-2122
(715) 472-4423
Mailing address
PO BOX 172, LUCK, WI 54853-0172
(801) 716-4857
(801) 716-4872

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8365-42
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2122807
PK
05
33273100
WI
Enumeration date
09/26/2006
Last updated
06/09/2014
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