Organization
OWEN-WITHEE PHARMACY INC
Active
Other names
Owen-Withee Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE WILES (ADMIN ASSISTANT)
(715) 418-3478
Entity
Organization
Contact information
Practice address
514 DIVISION ST, WITHEE, WI 54498-9411
(715) 229-2020
(715) 229-2950
Mailing address
PO BOX 123, WITHEE, WI 54498-0123
(715) 229-2074
(715) 229-2950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9261-42
WI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100037997
—
WI
01
—
2145811
PK
—
Enumeration date
05/19/2014
Last updated
10/04/2024
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