Organization
MIKE FLINT ENTERPRISES INC
Active
Other names
Mallatt Pharmacy and Costume 101
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MICHAEL FLINT JR. R.PH. (CEO)
(608) 310-9922
Entity
Organization
Contact information
Practice address
1255 WILLIAMSON ST, MADISON, WI 53703-3754
(608) 255-9116
(608) 255-9969
Mailing address
1255 WILLIAMSON ST, MADISON, WI 53703-3754
(608) 255-9116
(608) 255-9969
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9024-42
WI
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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