Organization
CROSS PLAINS PHARMACY LLC
Active
Other names
CROSS PLAINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KOSTECKI RPH (OWNER)
(608) 798-3031
Entity
Organization
Contact information
Practice address
1840 MAIN ST, CROSS PLAINS, WI 53528-9473
(608) 798-3031
(608) 798-3932
Mailing address
PO BOX 215, CROSS PLAINS, WI 53528-0215
(608) 798-3031
(608) 798-3932
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
829842
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112693
PK
—
05
—
33268700
—
WI
Enumeration date
08/20/2006
Last updated
02/20/2025
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