Organization
GLANDER INC
Active
Other names
GLANDER PRESCRIPTIONS PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BOUCHE RPH (PRES)
(920) 459-2755
Entity
Organization
Contact information
Practice address
3529 SUPERIOR AVE, SHEBOYGAN, WI 53081-1865
(920) 459-2755
(920) 803-7519
Mailing address
3529 SUPERIOR AVE, SHEBOYGAN, WI 53081-1865
(920) 459-2755
(920) 803-7519
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
855742
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114842
PK
—
05
—
33158600
—
WI
Enumeration date
06/20/2006
Last updated
10/31/2022
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