Sweet Medicine Prescriptions Plus Inc
Organization Active NPI Pharmacist · Iola, WI
NPI 1255440293 · NPPES record last updated Jan 3, 2013
Key facts
- NPI
- 1255440293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 7980-042 (WI)
- Legal business name
- SWEET MEDICINE PRESCRIPTIONS PLUS INC
- Practice address
- 155 N Main St
Iola, WI 54945 - Phone
- (715) 445-3117
- Fax
- (715) 445-4481
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Susan K Shambeau, RPH
- Title
- Pharmacist Owner
- Phone
- (715) 455-3117
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 7980-042 | WI | Yes |
Addresses
Primary practice location
155 N Main St
Iola, WI 54945
Mailing address
155 N Main St
PO Box 284
Iola, WI 54945
Phone (715) 445-3117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33214300 | Medicaid | WI |
Other providers in Iola, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.