Streu's Pharmacy, Inc

NPI 1104827146 - Pharmacy - 333600000X

NPI Details
NPI 1104827146
Enumeration Date 08/01/2005
Last Updated 02/29/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JEFFREY A JEFFREY
Position OWNER
Phone (920) 437-0206
Fax (920) 884-6932
Practice Location
635 MAIN ST
GREEN BAY WI, 54301-4918, US
Phone (920) 437-0206
Fax (920) 884-6932
Business Location
635 MAIN ST
GREEN BAY WI, 54301-4918, US
Phone (920) 437-0206
Fax (920) 884-6932
Toxanomy
Taxonomy Code 333600000X
License State Wisconsin
License Number 4744-042
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According to our database, Streu's Pharmacy, Inc NPI is 1104827146, taxonomy code is 333600000X and license number is 4744-042, license state is located at Wisconsin. Streu's Pharmacy, Inc physically located at 635 Main St, Green Bay WI, 54301-4918. NPI Number 1033115704 has the healthcare provider type.

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1104827146 NPI number is provided on an as is basis without warranty of any kind. 1104827146 is maintained by the National Plan & Provider Enumeration System. The contents of Streu's Pharmacy, Inc are for informational purposes only.