Organization
HEIKE PHARMACY INC
Active
Other names
HEIKE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LARA JOHNSON (MNG SECRETARY)
(715) 672-5202
Entity
Organization
Contact information
Practice address
213 W MAIN ST, DURAND, WI 54736-1146
(715) 672-5202
(715) 672-5205
Mailing address
213 W MAIN ST, DURAND, WI 54736-1146
(715) 672-5202
(715) 672-5205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
614442
WI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111977
PK
—
05
—
33099900
—
WI
Enumeration date
09/22/2005
Last updated
07/18/2023
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