Organization
MORTON DRUG CO INC
Active
Other names
MORTON LTC OSHKOSH
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BLANK (VP CORPORATE SERVICES)
(920) 727-8882
Entity
Organization
Contact information
Practice address
129 JACKSON ST, OSHKOSH, WI 54901-4713
(920) 651-4236
(920) 651-0971
Mailing address
PO BOX 778, NEENAH, WI 54957-0778
(920) 727-3853
(920) 727-3867
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
900842
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33234900
—
WI
01
—
5131040
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2008
Last updated
03/07/2012
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