Organization
FREDERIC PHARMACY LLC
Active
Other names
Frederic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA LUNDQUIST (PHARMACY DIRECTOR)
(715) 483-0260
Entity
Organization
Contact information
Practice address
201 OAK ST W, FREDERIC, WI 54837-8953
(715) 327-4208
(715) 327-4232
Mailing address
201 OAK ST W, FREDERIC, WI 54837-8953
(715) 327-4208
(715) 327-4232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9306-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145519
PK
—
Enumeration date
04/01/2014
Last updated
09/02/2016
About Stedi
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