Theda Clark Pharmacy

NPI 1245363563 - General Acute Care Hospital - 282N00000X

NPI Details
NPI 1245363563
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUE SUE
Position PHARMACY MANAGER
Phone (920) 729-3090
Fax
Practice Location
130 2ND ST
NEENAH WI, 54956-2883, US
Phone (920) 729-3090
Fax
Business Location
130 2ND ST
NEENAH WI, 54956-2883, US
Phone (920) 729-3090
Fax
Toxanomy
Taxonomy Code 282N00000X
License State Wisconsin
License Number 3273
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According to our database, Theda Clark Pharmacy NPI is 1245363563, taxonomy code is 282N00000X and license number is 3273, license state is located at Wisconsin. Theda Clark Pharmacy physically located at 130 2nd St, Neenah WI, 54956-2883. NPI Number 1033115704 has the healthcare provider type.

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1245363563 NPI number is provided on an as is basis without warranty of any kind. 1245363563 is maintained by the National Plan & Provider Enumeration System. The contents of Theda Clark Pharmacy are for informational purposes only.