Organization
FALL CREEK PHARMACY, INC.
Active
Other names
FALL CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REBECCA J STONER RPH (RPH /STORE MANAGER)
(715) 877-2994
Entity
Organization
Contact information
Practice address
119 E LINCOLN AVE, FALL CREEK, WI 54742-9526
(715) 877-2994
(715) 877-3248
Mailing address
119 E LINCOLN AVE, PO BOX 217, FALL CREEK, WI 54742-9526
(715) 877-2994
(715) 877-3248
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8903042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144384629
—
WI
Enumeration date
12/20/2006
Last updated
08/06/2010
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