Provider Information for 1699840033
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MORTON DRUG CO INC
Other Names:Doing Business As:MORTON LTCOrganization Subpart: NO
NPI: 1699840033
Last Updated: 2015-08-10
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1699840033 | ||||||||||||
Enumeration Date | 2006-11-21 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: JEFFREY BLANK Title: VP CORPORATE SERVICES Phone: 9207278882 | ||||||||||||
Mailing Address | PO BOX 778 NEENAH, WI 54957-0778 United States Phone: 920-727-3853 | Fax:920-727-3867 | ||||||||||||
Primary Practice Address | 201 E BELL ST NEENAH, WI 54956-5096 United States Phone: 920-727-3853 | Fax:920-722-1530 | ||||||||||||
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