Organization
EDGERTON CHEMISTS INC.
Active
Other names
Edgerton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAIBABU APPALANENI (PRESIDENT)
(608) 884-3308
Entity
Organization
Contact information
Practice address
1011 N MAIN ST, EDGERTON, WI 53534-1325
(608) 884-3308
(608) 884-7725
Mailing address
1011 N MAIN ST, EDGERTON, WI 53534-1325
(608) 884-3308
(608) 884-7725
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098751
—
WI
Enumeration date
11/25/2019
Last updated
11/22/2021
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