Organization
BALLWEG FAMILY PHARMACY INC
Active
Other names
BALLWEG FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BALLWEG RPH (OWNER AND PHARMACIST)
(608) 643-6500
Entity
Organization
Contact information
Practice address
1200 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-6500
(608) 643-6533
Mailing address
1200 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-6500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8489-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110297
PK
—
Enumeration date
07/03/2006
Last updated
10/06/2023
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