Organization
STREU'S PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A KIRCHNER PHARMACIST (OWNER)
(920) 437-0206
Entity
Organization
Contact information
Practice address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 437-0206
(920) 884-6932
Mailing address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 437-0206
(920) 884-6932
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4744-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33073500
—
WI
Enumeration date
08/01/2005
Last updated
02/29/2008
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