Organization
DALY DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL L. NELSON R.PH. (PRESIDENT)
(715) 423-3400
Entity
Organization
Contact information
Practice address
3215 8TH ST S, WISCONSIN RAPIDS, WI 54494-6564
(715) 423-3400
(715) 423-5504
Mailing address
3215 8TH ST S, WISCONSIN RAPIDS, WI 54494-6564
(715) 423-3400
(715) 423-5504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6119
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33016900
—
WI
Enumeration date
08/23/2005
Last updated
08/22/2020
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