Organization
RUSK COUNTY MEMORIAL HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M. SHAW (CHIEF EXECUTIVE OFFICER)
(715) 532-5561
Entity
Organization
Contact information
Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
(715) 532-9809
Mailing address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
(715) 532-9809
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5490-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33114700
—
WI
Enumeration date
02/22/2007
Last updated
08/22/2020
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