Organization
IVEYS PHARMACY INC
Active
Other names
IVEYS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SAYRE (PRESIDENT)
(608) 987-2336
Entity
Organization
Contact information
Practice address
128 HIGH ST, MINERAL POINT, WI 53565-1208
(608) 987-2336
(608) 987-2578
Mailing address
128 HIGH ST, MINERAL POINT, WI 53565-1208
(608) 987-2336
(608) 987-2578
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6622-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112886
PK
—
05
—
33065900
—
WI
Enumeration date
03/01/2007
Last updated
01/08/2016
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