Organization
MUELLER DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA S LOTZ (OWNER)
(920) 674-5733
Entity
Organization
Contact information
Practice address
132 S MAIN ST, JEFFERSON, WI 53549
(920) 674-5733
Mailing address
132 S MAIN ST, JEFFERSON, WI 53549-1632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4537-042
WI
333600000X
Pharmacy
Primary
4537-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33095700
—
WI
Enumeration date
09/13/2006
Last updated
05/17/2018
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