Organization
MARSHALL PHARMACY LLC
Active
Other names
Marshall Pharmacy Health Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J. CALDWELL R.PH. (OWNER/MEMBER)
(608) 438-4496
Entity
Organization
Contact information
Practice address
701 W MAIN ST, MARSHALL, WI 53559-8982
(608) 438-4496
(608) 438-4496
Mailing address
N7103 STONEY CREEK RD, WATERLOO, WI 53594-9415
(608) 438-4496
(608) 438-4496
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
895342
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
895342
STATE LICENSE NUMBER
WI
Enumeration date
10/01/2009
Last updated
10/01/2009
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