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FOX VALLEY PRESCRIPTION CENTERS LTD

Suppliers Durable Medical Equipment & Medical Supplies

Provider NPI: 1306995519

Organization Information:
Organization Name:  FOX VALLEY PRESCRIPTION CENTERS LTD
Organization is not Subpart
Authorized Official:  CHELSEA  LISOWE  CONTRACTING COORDINATOR  920-992-6800

Practice Location:
1350 W COLLEGE AVE STE A  APPLETON, WI 54914-4974 US
Tel: 920-739-9232  Fax: 920-739-5813

Business Mailing Address:
333 LOWVILLE RD  RIO, WI 53960-9437 US
Tel: 920-992-6800  Fax: 920-992-6801

NPI Information:
NPI: 1306995519
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
33110800WI05



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



MEDICAL JOBS WI - Page 1

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