MAYER DRUG INC
Medical Equipment Supplier Yellow Pages
Kenosha, Wisconsin
Provider NPI: 1790778967
Organization Information:Organization Name: MAYER DRUG INC
Practice Location:
3535 30TH AVE STE 103 KENOSHA, WI 53144 US
Tel: 262-658-8124 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3535 30TH AVE STE 103 KENOSHA, WI 53144 US
Tel: 262-658-8124 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers Pharmacy Community/Retail Pharmacy | WI | 8019-42 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 5102392 | 01 | |
3305290033069300 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin