Organization
DEGEN BERGLUND INC
Active
Other names
DEGEN BERGLUND HOLMEN
Organization subpart
No
Provider details
NPI number
Authorized official
JON BINGOL PHARMD (DIRECTOR)
(608) 775-8526
Entity
Organization
Contact information
Practice address
600 N HOLMEN DR, STE 1, HOLMEN, WI 54636-9606
(608) 775-8875
(608) 775-8878
Mailing address
PO BOX 3157, LA CROSSE, WI 54602-3157
(608) 775-8526
(608) 775-8569
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
849142
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110289
PK
—
05
—
33282300
—
WI
Enumeration date
06/10/2006
Last updated
12/05/2018
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