Organization
SAUK CITY PHARMACY INC
Active
Other names
Sauk City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LEE BLESSING RPH (PRES)
(608) 643-6858
Entity
Organization
Contact information
Practice address
830 WATER ST, SAUK CITY, WI 53583
(608) 643-6858
(608) 643-4196
Mailing address
830 WATER ST, SAUK CITY, WI 53583
(608) 643-6858
(608) 643-4196
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
G637042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33034300
—
WI
01
—
5115692
NCPDP
—
Enumeration date
10/18/2006
Last updated
08/22/2020
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