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Organization

ELKHORN PHARMACY LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAY HERNING KUE PHARMD (OWNER)
(262) 723-8444
Entity
Organization

Contact information

Practice address
603 E GENEVA ST, ELKHORN, WI 53121-2301
(262) 723-8444
(262) 723-8760
Mailing address
603 E GENEVA ST, ELKHORN, WI 53121-2301
(262) 723-8444
(262) 723-8760

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33199000
WI
Enumeration date
06/06/2024
Last updated
06/06/2024
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