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Durable Medical Equipment, Dialysis Supplies
Nursing Facility Supplies, Customized Equipment

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BALSAM LAKE PHARMACY INC

Medical Equipment Supplier Yellow Pages

Balsam Lake, Wisconsin

Provider NPI: 1427128800

Organization Information:
Organization Name:  BALSAM LAKE PHARMACY INC


Practice Location:
315 MAIN ST  BALSAM LAKE, WI 54810 US
Tel: 715-485-3374  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
WI7866042

Other Provider Identifiers:

IssuerNumberStateType
33240300WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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