Organization
STOXEN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORLISS STOXEN BS PHARMACY (PRESIDENT)
(715) 361-4770
Entity
Organization
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-6710
(715) 361-4770
(715) 369-3650
Mailing address
333 LOWVILLE RD, RIO, WI 53960-9437
(920) 992-6800
(920) 992-6801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8397-42
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113028
PK
—
05
—
33116800
—
WI
Enumeration date
12/27/2005
Last updated
04/21/2017
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