Van's Corner Drug

NPI #1376628396 in Waupun, Wisconsin

Provider Information

NPI Number: 1376628396
Entity Type: Organization
Organization Name: Van's Corner Drug
Primary Specialty: Pharmacist
Enumeration Date: Oct 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 401 E MAIN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-2161
Phone: (920) 324-5211

Authorized Official

Name: MARK J VANDELIST, RPH
Title: PHARMACIST
Phone: (920) 324-5211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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