Organization
WODELE ENTERPRISES INCORPORATED
Active
Other names
Wabasha Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WODELE RPH (OWNER)
(651) 565-3949
Entity
Organization
Contact information
Practice address
207 MAIN ST W, WABASHA, MN 55981-1238
(651) 565-3949
(651) 565-0030
Mailing address
207 MAIN ST W, WABASHA, MN 55981-1238
(651) 565-3949
(651) 565-0030
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2621160
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33258400
—
WI
Enumeration date
02/15/2007
Last updated
08/22/2020
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