Organization
STREUS PHARMACY INC
Active
Other names
Streus Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A KIRCHNER RPH (OWNER PHARMACIST)
(920) 437-0206
Entity
Organization
Contact information
Practice address
528 N MONROE AVE, GREEN BAY, WI 54301-4910
(920) 437-0206
(920) 884-6932
Mailing address
528 N MONROE AVE, GREEN BAY, WI 54301-4910
(920) 437-0206
(920) 884-6932
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8504-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33073500
—
WI
01
—
5128601
NABP
WI
Enumeration date
02/15/2007
Last updated
02/29/2008
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