Organization
PROFESSIONAL PHARMACY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW SANGER (PHARMACIST)
(715) 256-2880
Entity
Organization
Contact information
Practice address
105 N WESTERN AVE STE 3, WAUPACA, WI 54981-2201
(715) 245-2880
Mailing address
105 N WESTERN AVE STE 3, WAUPACA, WI 54981-2201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11837
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5127344
NABP
WI
Enumeration date
05/16/2007
Last updated
03/07/2023
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