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Organization

J & C STOCK SC

Active
Other names
MEDICINE SHOPPE
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA MARIE STOCK RPH (OWNER/RPH)
(715) 682-2701
Entity
Organization

Contact information

Practice address
510 ELLIS AVE, ASHLAND, WI 54806-1632
(715) 682-2701
(715) 682-2556
Mailing address
510 ELLIS AVE, ASHLAND, WI 54806-1632
(715) 682-2701
(715) 682-2556

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
8841042
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33285300
WI
01
5118876
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
12/01/2006
Last updated
03/17/2010
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