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Organization

DJH INC

Active
Other names
Three Lakes Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID JOHN HAPKA RPH (PRESIDENT/OWNER)
(715) 546-3266
Entity
Organization

Contact information

Practice address
1790 SUPERIOR STREET, THREE LAKES, WI 54562-0437
(715) 546-3266
(715) 546-2912
Mailing address
1790 SUPERIOR STREET, THREE LAKES, WI 54562-0437
(715) 546-3266
(715) 546-2912

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6651
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33054800
WI
Enumeration date
12/24/2008
Last updated
10/05/2011
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