Mide Inc. is a Pharmacist in Crandon, Wisconsin. Mide Inc. practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mide Inc. is 1336295245. The last update date is 2008-06-24.
Mide Inc.'s current location address is 600 E Pioneer St, Crandon, Wisconsin. You can contact this provider via phone number 7154783369 and fax number 7154783945. The mailing address for Mide Inc. is 600 E Pioneer St, Crandon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mide Inc. |
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Address | 600 E Pioneer St, Crandon, Wisconsin |
Phone Number | 7154783369 |
Fax Number | 7154783945 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SECRETARY |
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Authorized Official Name | Retzlaff Jody |
Telephone Number | 7154783369 |
NPI Number Detail
NPI Number | 1336295245 |
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Provider Enumeration Date | 2007-01-25 |
Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
Address | 600 E Pioneer St |
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City | Crandon |
State | Wisconsin (WI) |
Post Code | 545201662 |
Phone Number | 7154783369 |
Fax Number | 7154783945 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 7069042 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
33134200 | WI | -- |
Post Comment/ Review Below
What is the Mide Inc.'s unique identification number?
The Mide Inc. has been assigned the NPI (National Provider Identifier) Number 1336295245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mide Inc.'s facilities are geographically located?
The facilities of Mide Inc. are physically situated at the following location: 600 E Pioneer St, Crandon, WI, 545201662.
What is the Mide Inc.'s area of specialization and corresponding taxonomy classification?
The Mide Inc.'s specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date was the 1336295245 assigned to Mide Inc.?
The Mide Inc. was issued its 1336295245 on 2007-01-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mide Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mide Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-24.