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Organization

SPOONER HEALTH SYSTEM

Active
Other names
SPOONER HEALTH PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
TIM BASSETT RPH (DIR OF PHARMACY)
(715) 939-1746
Entity
Organization

Contact information

Practice address
1280 CHANDLER DRIVE, SPOONER, WI 54801-1299
(715) 939-1746
(715) 939-1562
Mailing address
1280 CHANDLER DRIVE, SPOONER, WI 54801
(715) 939-1746
(715) 939-1562

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336I0012X
Institutional Pharmacy
Primary
9407-42
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2113053
PK
05
33132300
WI
Enumeration date
06/20/2006
Last updated
08/16/2016
About Stedi
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