Organization
RED CROSS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H HOPP RPH (PHARMACY MANAGER)
(715) 635-2117
Entity
Organization
Contact information
Practice address
146 WALNUT STREET, SPOONER, WI 54801
(715) 635-2117
(715) 635-8135
Mailing address
PO BOX 339, SPOONER, WI 54801
(715) 635-2117
(715) 635-8135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4508
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33104200
—
WI
Enumeration date
07/09/2006
Last updated
05/14/2008
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