Organization
LA CLINICA DE LOS CAMPESINOS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BENDER (ENROLLMENT AND CONTRACT SPECIALIST)
(920) 787-9459
Entity
Organization
Contact information
Practice address
2719 CALUMET AVE, MANITOWOC, WI 54220-5546
(920) 395-2980
(920) 783-6804
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
(920) 395-2980
(920) 783-6804
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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