Organization
RWG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY W. GAVITT R.PH. (PRESIDENT)
(715) 239-6565
Entity
Organization
Contact information
Practice address
300 MAIN ST, CORNELL, WI 54732-8384
(715) 239-6453
(715) 239-6078
Mailing address
328 N 6TH ST, CORNELL, WI 54732-8129
(715) 239-6565
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6620-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33048700
—
WI
Enumeration date
11/12/2008
Last updated
01/14/2009
Update your record
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