Organization
CLINIC PHARMACY OF WEST SALEM INC
Active
Other names
Clinic Pharmacy Gifts & More
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE F CHRISTIANSEN RPH (PRESIDENT)
(608) 786-2828
Entity
Organization
Contact information
Practice address
126 LEONARD ST S, WEST SALEM, WI 54669-1621
(608) 786-2828
(608) 786-2845
Mailing address
126 LEONARD ST S, WEST SALEM, WI 54669-1621
(608) 786-2828
(608) 786-2845
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9040-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33189400
—
WI
Enumeration date
10/12/2006
Last updated
01/25/2012
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