Organization
WAUSAUKEE PHARMACY INC
Active
Other names
Wausaukee HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D HINES RPH (OWNER)
(715) 856-5455
Entity
Organization
Contact information
Practice address
703 MAIN ST, STE 2, WAUSAUKEE, WI 54177
(715) 856-5455
(715) 856-5451
Mailing address
703 MAIN ST, PO BOX 346, WAUSAUKEE, WI 54177
(715) 856-5455
(715) 856-5451
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8961-042
WI
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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