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Organization

DREIER PHARMACY AND GIFT SHOP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY DREIER RPH (OWNER/MANAGER)
(715) 526-2011
Entity
Organization

Contact information

Practice address
117 S MAIN ST, SHAWANO, WI 54166-2357
(715) 526-2011
(715) 524-6377
Mailing address
117 S MAIN ST, SHAWANO, WI 54166-2357
(715) 526-2011
(715) 524-6377

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33055100
WI
Enumeration date
06/11/2020
Last updated
06/11/2020
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