Organization
MORTON DRUG CO INC
Active
Other names
MORTON LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BLANK (VP CORPORATE SERVICES)
(920) 727-8882
Entity
Organization
Contact information
Practice address
201 E BELL ST, NEENAH, WI 54956-5096
(920) 727-3853
(920) 722-1530
Mailing address
PO BOX 778, NEENAH, WI 54957-0778
(920) 727-3853
(920) 727-3867
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
9299-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110942
PK
—
05
—
33290300
—
WI
Enumeration date
11/21/2006
Last updated
08/10/2015
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