Organization
PHARMAVENTURES INC
Active
Other names
EDGERTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA GRESENS BS PHARMACY (OWNER)
(608) 884-3308
Entity
Organization
Contact information
Practice address
1011 N MAIN ST, EDGERTON, WI 53534-1325
(608) 884-3308
(608) 884-7725
Mailing address
1011 N MAIN ST, EDGERTON, WI 53534-1325
(608) 884-3308
(608) 884-7725
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9498-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111923
PK
—
05
—
33265900
—
WI
Enumeration date
10/25/2005
Last updated
09/19/2025
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