Organization
RAABE'S PHARMACY S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A. RAABE RPH (PRESIDENT)
(608) 562-3302
Entity
Organization
Contact information
Practice address
112 S ADAMS ST, NEW LISBON, WI 53950-1206
(608) 562-3302
(608) 562-3951
Mailing address
112 S ADAMS ST, NEW LISBON, WI 53950-1206
(608) 562-3302
(608) 562-3951
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6695-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33059300
—
WI
Enumeration date
10/26/2006
Last updated
03/31/2011
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