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SMARTSCRIPT PHARMACY LLC

Suppliers Pharmacy

Provider NPI: 1104026343

Organization Information:
Organization Name:  SMARTSCRIPT PHARMACY LLC
Organization is not Subpart
Authorized Official:  DAN  LEBEN  OWNER  844-476-2781

Practice Location:
4041 STATE ROAD 91 STE B  OSHKOSH, WI 54904-9218 US
Tel: 844-476-2781  Fax: 844-245-7075

Business Mailing Address:
4041 STATE ROAD 91 STE B  OSHKOSH, WI 54904-9218 US
Tel: 844-476-2781  Fax: 844-245-7075

NPI Information:
NPI: 1104026343
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0003XSuppliers
Pharmacy
Y3336C0004XSuppliers
Pharmacy
WI9267-42

Other Provider Identifiers:

IssuerNumberStateType
100058597WI05
PK214618701



American Medical Association 2012 taxonomy code information

Code: 3336C0004X

Type:

Classification:



Definition:



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