SHELL LAKE PHARMACY LTD
Medical Equipment Supplier Yellow Pages
Shell Lake, Wisconsin
Provider NPI: 1356413850
Organization Information:Organization Name: SHELL LAKE PHARMACY LTD
Practice Location:
113 4TH AVE SHELL LAKE, WI 54871 US
Tel: 715-468-7800 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:
113 4TH AVE SHELL LAKE, WI 54871 US
Tel: 715-468-7800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | WI | 6461042 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
33038100 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin