Organization
KASSEL CITY DRUG LLC
Active
Other names
KASSEL CITY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KASSEL (OWNER)
(608) 685-4975
Entity
Organization
Contact information
Practice address
200 S MAIN ST, ALMA, WI 54610-7722
(608) 685-3261
(608) 685-4568
Mailing address
PO BOX 397, ALMA, WI 54610-0397
(608) 685-3261
(608) 685-4568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
906742
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5104954
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/03/2006
Last updated
05/02/2011
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