Organization
MAPLEWOOD OF SAUK PRAIRIE
Active
Other names
MAPLEWOOD OF SAUK PRAIRIE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CARL HARRIS R.PH. (STAFF PHARMACIST)
(608) 644-9265
Entity
Organization
Contact information
Practice address
245 SYCAMORE STEET, SAUK CITY, WI 53583
(608) 644-9265
(608) 643-2629
Mailing address
245 SYCAMORE STEET, SAUK CITY, WI 53583
(608) 644-9265
(608) 643-2629
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113946
PK
—
05
—
33204100
—
WI
Enumeration date
08/24/2005
Last updated
10/24/2018
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