Organization
SPRING GREEN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA M HAHN R.PH. (OWNER)
(608) 588-2541
Entity
Organization
Contact information
Practice address
208 E JEFFERSON ST, SPRING GREEN, WI 53588-8002
(608) 588-2541
Mailing address
208 E JEFFERSON ST, SPRING GREEN, WI 53588-8002
(608) 588-2541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6137-042
WI
3336L0003X
Long Term Care Pharmacy
6137
WI
Other
Enumeration date
10/03/2006
Last updated
08/08/2016
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