Organization
CORCORAN HEALTHCARE ENTERPRISES, INC
Active
Other names
Reedsburg Family Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L. KISSACK RPH (MANAGER)
(608) 524-3215
Entity
Organization
Contact information
Practice address
115 2ND ST, REEDSBURG, WI 53959-1602
(608) 524-3215
(608) 524-8410
Mailing address
115 2ND ST, PO BOX 245, REEDSBURG, WI 53959-1602
(608) 524-3215
(608) 524-8410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11077
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33168300
—
WI
Enumeration date
12/29/2006
Last updated
08/22/2020
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