Micklesen Drug INC

NPI #1982781308 in Hudson, Wisconsin

Provider Information

NPI Number: 1982781308
Entity Type: Organization
Organization Name: Micklesen Drug INC
Primary Specialty: Pharmacist
Enumeration Date: Nov 1, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 530 SECOND ST
City: Hudson
State: Wisconsin
ZIP Code: 54016
Phone: (715) 386-3344

Authorized Official

Name: MR. MARK C ANDERSON, RPH PHARMACIST IN CH
Title: PRESIDENT
Phone: (715) 386-3344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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