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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