Organization
GWIDT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE RESCH PHARM D, RPH (VICE-PRESIDENT)
(715) 253-2164
Entity
Organization
Contact information
Practice address
203 E WESTGOR AVE, WITTENBERG, WI 54499-9174
(715) 253-2164
(715) 253-3030
Mailing address
PO BOX 253, WITTENBERG, WI 54499-0253
(715) 253-2164
(715) 253-3030
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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