Organization
MIKE FLINT ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FLINT (OWNER)
(608) 310-9922
Entity
Organization
Contact information
Practice address
N85W15882 APPLETON AVE, MENOMONEE FALLS, WI 53051
(262) 437-0031
(262) 255-2058
Mailing address
N85W15882 APPLETON AVE, MENOMONEE FALLS, WI 53051-3082
(262) 437-0031
(262) 255-2058
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
9503-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151951
PK
—
Enumeration date
10/04/2006
Last updated
06/07/2018
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