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Contact Information

MORTON DRUG CO INC
916 E MAIN ST
WINNECONNE, WI54986-9782
 Phone: 920-582-4414
 Fax: 920-582-7608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MORTON DRUG CO INC

NPI Number 1811086598
LBN Legal business name MORTON DRUG CO INC
Authorized official JEFFREY BLANK - (VP CORPORATE SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 09/08/2010 - About 16 years ago
Identifiers
WI License # 7789
WI Medicaid 33205700
Other 5101059 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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