Organization
LCT ENTERPRISES, INC
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA CATHERINE TUMILTY RPH (VICE PRESIDENT)
(608) 838-5700
Entity
Organization
Contact information
Practice address
5700 US HIGHWAY 51, MC FARLAND, WI 53558-9319
(608) 838-5700
(608) 838-2023
Mailing address
5700 US HIGHWAY 51, MC FARLAND, WI 53558-9319
(608) 838-5700
(608) 838-2023
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7697-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33226300
—
WI
01
—
5123841
NCPDP
WI
01
—
5320570001
MEDICARE PTAN
WI
Enumeration date
07/13/2006
Last updated
03/07/2023
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