Organization
ELLSWORTH VILLAGE PHARMACY INC.
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL C. SCHULZE RPH. (OWNER)
(715) 273-4466
Entity
Organization
Contact information
Practice address
183 E MAIN ST, ELLSWORTH, WI 54011-9188
(715) 273-4466
(715) 273-5414
Mailing address
183 E MAIN ST, ELLSWORTH, WI 54011-9188
(715) 273-4466
(715) 273-5414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8321-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33052400
—
WI
01
—
5111062
NABP
—
Enumeration date
11/28/2006
Last updated
08/22/2020
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