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Ericksons Diversified Corporation
Community/Retail Pharmacy in New Richmond, Wisconsin
NPI 1114075488

Ericksons Diversified Corporation is a Community/Retail Pharmacy based in Chicago, WI and is specialized in Community/Retail Pharmacy. Ericksons Diversified Corporation practices in New Richmond, WI. The NPI Number for Ericksons Diversified Corporation is 1114075488 and holds a License No. 5254 (Wisconsin).

The current practice location address for Ericksons Diversified Corporation is 110 W 4Th St, New Richmond, WI and can be reached out via phone at 715-246-2186 and via fax at 715-246-7115.

Location: 110 W 4Th St, New Richmond, WI, 60689-5315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114075488
Provider Name
Ericksons Diversified Corporation
Credential
Provider Entity Type
Organization
Address
110 W 4Th St, New Richmond, WI, 60689-5315
Phone Number
715-246-2186
Fax Number
715-246-7115
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5113054 01 OTHER ID NUMBER-COMMERCIAL NUMBER
33129900 05 WI
institution
Provider Business Practice Location Address Details
Address
110 W 4Th St
City
New Richmond
State
Wisconsin
Zip
54017-1722
Phone Number
715-246-2186
Fax Number
715-246-7115
person
Provider Business Mailing Address Details
Address
110 W 4Th St
City
New Richmond
State
Wisconsin
Zip
54017-1722
Phone Number
715-246-2186
Fax Number
715-246-7115
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
5254 (Wisconsin)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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