Organization
SMILING DOG INVESTMENTS INC
Active
Other names
Sheboygan Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CAMALA JORSTAD (RPH)
(920) 254-7270
Entity
Organization
Contact information
Practice address
577 S TAYLOR DR, SHEBOYGAN, WI 53081-4234
(920) 459-7467
(920) 459-8851
Mailing address
577 S TAYLOR DR, SHEBOYGAN, WI 53081-4234
(920) 459-7467
(920) 459-8851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9088-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131369
PK
—
Enumeration date
07/20/2011
Last updated
04/05/2016
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