Organization
MEGS PHARMACY INC
Active
Other names
Ranger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA GRUSZYNSKI (PRESIDENT)
(715) 854-7425
Entity
Organization
Contact information
Practice address
825 MAIN ST, WAUSAUKEE, WI 54177-9773
(715) 856-6300
(715) 856-6311
Mailing address
710 MAIN AVE, CRIVITZ, WI 54114-1664
(715) 854-7425
(715) 854-7326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8986-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5132105
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/25/2009
Last updated
01/28/2010
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