Organization
MOLTER FAMILY PHARMACY LLC
Active
Other names
Molter's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RAY MOLTER (OWNER/MANAGING MEMBER)
(608) 372-5355
Entity
Organization
Contact information
Practice address
701 E CLIFTON ST, TOMAH, WI 54660-2633
(608) 372-4115
(608) 372-4116
Mailing address
701 E CLIFTON ST, TOMAH, WI 54660-2633
(608) 372-4115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
10/14/2021
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