Organization
PICHELMEYERS INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVER J RUDIE R.PH. (PHARMACIST)
(920) 982-2401
Entity
Organization
Contact information
Practice address
320 WOLF RIVER PLZ, NEW LONDON, WI 54961-1237
(920) 982-2401
(920) 982-2402
Mailing address
1900 MAYFLOWER CT, NEW LONDON, WI 54961-2431
(920) 982-5432
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6117-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33088600
—
WI
Enumeration date
02/20/2007
Last updated
03/07/2023
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