Healthcare Provider Details

I. General information

NPI: 1780504191
Provider Name (Legal Business Name): CPI MERRILL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 2ND ST
MERRILL WI
54452-2317
US

IV. Provider business mailing address

301 E 2ND ST
MERRILL WI
54452-2317
US

V. Phone/Fax

Practice location:
  • Phone: 715-536-2909
  • Fax: 715-536-5094
Mailing address:
  • Phone: 715-536-2909
  • Fax: 715-536-5094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PAUL WINGER
Title or Position: MEMBER
Credential:
Phone: 715-536-2909