Organization
MARSHLAND DRUGS INC
Active
Other names
MARSHLAND COMPOUNDING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STACI WILLIAMS PHARMD (MANAGER)
(920) 387-7800
Entity
Organization
Contact information
Practice address
1028 HORICON ST, MAYVILLE, WI 53050-1429
(920) 387-7800
(920) 387-7809
Mailing address
1028 HORICON ST, MAYVILLE, WI 53050-1429
(920) 387-7800
(920) 387-7809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8060042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5126378
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2006
Last updated
08/26/2009
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