Molter Family Pharmacy LLC

NPI #1487328548 in Tomah, Wisconsin

Provider Information

NPI Number: 1487328548
Entity Type: Organization
Organization Name: Molter Family Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Aug 3, 2021
Last Updated: Oct 14, 2021

Practice Location

Address: 701 E CLIFTON ST
City: Tomah
State: Wisconsin
ZIP Code: 54660-2633
Phone: (608) 372-4115

Authorized Official

Name: MR. MARK RAY MOLTER
Title: OWNER/MANAGING MEMBER
Phone: (608) 372-5355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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