Organization
WANZEK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J WANZEK (OWNER)
(507) 642-3218
Entity
Organization
Contact information
Practice address
12 W MAIN ST, MADELIA, MN 56062-1438
(507) 642-3218
(507) 642-8651
Mailing address
12 W MAIN ST, MADELIA, MN 56062-1438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2606635
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182557700
—
MN
01
—
2402941
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
12/20/2011
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