Organization
SANFORD CARE SERVICES, INC
Active
Other names
sCs, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILLIAM R SANFORD RPH (PHARMACIST IN CHARGE)
(715) 833-6770
Entity
Organization
Contact information
Practice address
2423 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6724
(715) 833-6770
(715) 833-6773
Mailing address
2423 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6724
(715) 833-6770
(715) 833-6773
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9221-42
WI
3336C0004X
Compounding Pharmacy
9221-42
WI
3336L0003X
Long Term Care Pharmacy
9221-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9221-42
PHARMACY LICENSE
WI
Enumeration date
09/05/2013
Last updated
01/21/2014
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