Organization
WHITE CROSS PHARMACY INC
Active
Other names
White Cross Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PECHACEK (PRESIDENT)
(715) 762-3283
Entity
Organization
Contact information
Practice address
314 SILVER ST, HURLEY, WI 54534-1254
(715) 561-5666
(715) 561-5654
Mailing address
138 2ND AVE N, PARK FALLS, WI 54552-1214
(715) 762-3283
(715) 762-2980
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8951-42
WI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122378
PK
—
Enumeration date
08/10/2006
Last updated
12/03/2015
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