Organization
MORTON DRUG CO INC
Active
Other names
MORTON LTC APPLETON
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BLANK (VP CORPORATE SERVICES)
(920) 727-8882
Entity
Organization
Contact information
Practice address
601 W COLLEGE AVE, APPLETON, WI 54911-5803
(920) 738-5823
(920) 882-3323
Mailing address
PO BOX 778, NEENAH, WI 54957-0778
(920) 727-3853
(920) 727-3867
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
6893042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33098900
—
WI
01
—
5100994
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
01/18/2012
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