Organization
DREIER PHARMACY AND GIFT SHOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM D DREIER RPH (VICE PRESIDENT)
(715) 526-2011
Entity
Organization
Contact information
Practice address
117 S MAIN ST, SHAWANO, WI 54166-2357
(715) 526-2011
(715) 524-6377
Mailing address
117 S MAIN ST, SHAWANO, WI 54166-2357
(715) 526-2011
(715) 524-6377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5962042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33055100
—
WI
01
—
5109221
NABP
—
Enumeration date
11/07/2005
Last updated
01/15/2008
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