Organization
MARINETTE MENOMINEE PRESCRIPTION CENTER LTD
Active
Other names
VALUCARE CENTER HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WILKE B.S. (PIC/OWNER)
(715) 732-0717
Entity
Organization
Contact information
Practice address
1378 MAIN ST, MARINETTE, WI 54143-2425
(715) 732-0717
(715) 732-0596
Mailing address
1378 MAIN ST, MARINETTE, WI 54143-2425
(715) 732-0717
(715) 732-0596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9392-42
WI
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871546705
—
MI
01
—
2112092
PK
—
05
—
33114900
—
WI
05
—
9509274
—
WI
Enumeration date
05/19/2006
Last updated
09/19/2025
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