Organization
STOXEN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORLISS J STOXEN RPH (PRESIDENT)
(715) 361-4770
Entity
Organization
Contact information
Practice address
12 W WISCONSIN AVENUE, TOMAHAWK, WI 54487
(715) 453-3110
(715) 453-4469
Mailing address
12 W WISCONSIN AVENUE, TOMAHAWK, WI 54487
(715) 453-3110
(715) 453-4469
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
6389
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33082200
—
WI
Enumeration date
01/03/2006
Last updated
07/26/2011
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