Organization
CLINTON PHARMACY LLC
Active
Other names
Clinton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRAHAM (OWNER)
(608) 676-2700
Entity
Organization
Contact information
Practice address
238 ALLEN ST, CLINTON, WI 53525-9496
(608) 676-2700
(608) 676-5429
Mailing address
PO BOX 327, CLINTON, WI 53525-0327
(608) 676-2700
(608) 676-5429
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9036-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548570435
—
WI
01
—
2127050
PK
—
Enumeration date
10/14/2010
Last updated
09/19/2025
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