Organization
HOGDEN ENTERPRISES INC
Active
Other names
Blair Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BEN MOLSTAD (DIRECTOR OF PHARMACY)
(608) 989-2919
Entity
Organization
Contact information
Practice address
125 W BROADWAY ST, BLAIR, WI 54616-9367
(608) 989-2919
(608) 989-2837
Mailing address
PO BOX 186, BLAIR, WI 54616-0186
(608) 989-2919
(608) 989-2837
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
7366042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33196800
—
WI
Enumeration date
03/12/2018
Last updated
06/16/2018
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