Shell Lake Pharmacy Ltd
NPI #1962920926 in Shell Lake, Wisconsin
Provider Information
- NPI Number
- 1962920926
- Entity Type
- Organization
- Organization Name
- Shell Lake Pharmacy Ltd
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 30, 2017
- Last Updated
- Feb 3, 2020
Practice Location
- Address
- 113 4TH AVE
- City
- Shell Lake
- State
- Wisconsin
- ZIP Code
- 54871-4457
- Phone
- (715) 468-7800
Authorized Official
- Name
- PAIGE WILES
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (715) 418-3478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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