Organization
THE PHARMACY STATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED SPITZER (PRESIDENT)
(262) 763-8877
Entity
Organization
Contact information
Practice address
300 S PINE ST, BURLINGTON, WI 53105-2235
(262) 763-8877
Mailing address
397 ROBINS RUN, BURLINGTON, WI 53105-1073
(262) 763-6969
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
9158-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33031100
—
WI
Enumeration date
02/13/2014
Last updated
07/21/2020
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