Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Other names
CMH Primary Care Clinic, Remote Dispensing Registration
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON E KNOX (PHARMACY MANAGER)
(920) 846-3444
Entity
Organization
Contact information
Practice address
340 N GREEN BAY AVE, GILLETT, WI 54124-9325
(920) 855-2823
(920) 855-6343
Mailing address
340 N GREEN BAY AVE, GILLETT, WI 54124-9325
(920) 855-2823
(920) 855-6343
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
03/07/2023
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