Stoxen Pharmacy
Organization Active NPI Pharmacy · Tomahawk, WI
NPI 1962480707 · NPPES record last updated Jul 26, 2011
Key facts
- NPI
- 1962480707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 6389 (WI)
- Legal business name
- STOXEN PHARMACY
- Practice address
- 12 W Wisconsin Avenue
Tomahawk, WI 54487 - Phone
- (715) 453-3110
- Fax
- (715) 453-4469
- NPI assigned
- Jan 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Corliss J Stoxen, RPH
- Title
- President
- Phone
- (715) 361-4770
National Provider Directory
Locations
12 W Wisconsin Ave
Tomahawk, WI 54487
Phone (715) 453-3110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 6389 | WI | Yes |
Addresses
Primary practice location
12 W Wisconsin Avenue
Tomahawk, WI 54487
Mailing address
12 W Wisconsin Avenue
Tomahawk, WI 54487
Phone (715) 453-3110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33082200 | Medicaid | WI |
Other providers in Tomahawk, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2011. 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.