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Organization

THOMAS A CHRISTIANSON

Active
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Organization

THOMAS A CHRISTIANSON

Active
Other names
Rhyme Drug
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS CHRISTIANSON R.PH. (OWNER/PHARMACIST)
(608) 742-3737
Entity
Organization

Contact information

Practice address
117 E COOK ST, PORTAGE, WI 53901-2204
(608) 742-3737
(608) 742-0216
Mailing address
117 E COOK ST, PORTAGE, WI 53901-2204
(608) 742-3737
(608) 742-0216

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
9631-040
WI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6336
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33054700
WI
Enumeration date
10/24/2006
Last updated
07/11/2008
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