Organization
HUDSON HOSPITAL, INC.
Active
Other names
Hudson Hospital & Clinics Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JOHNSON (CFO)
(715) 531-6013
Entity
Organization
Contact information
Practice address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6450
(715) 531-6451
Mailing address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6450
(715) 531-6451
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8300-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11018700
—
WI
01
—
5126948
NABP
—
Enumeration date
06/14/2006
Last updated
03/07/2023
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