Organization
CHIPPEWA PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WINGER RPH (OWNER PHARMACIST)
(715) 723-9192
Entity
Organization
Contact information
Practice address
603 N BRIDGE ST, CHIPPEWA FALLS, WI 54729-2424
(715) 723-9192
(715) 723-6463
Mailing address
603 N BRIDGE ST, CHIPPEWA FALLS, WI 54729-2424
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8721
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33296800
—
WI
01
—
5120922
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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