Healthcare Provider Details

I. General information

NPI: 1578671269
Provider Name (Legal Business Name): WOXLAND CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 N MAIN ST
PARDEEVILLE WI
53954
US

IV. Provider business mailing address

PO BOX 490
PARDEEVILLE WI
53954-0490
US

V. Phone/Fax

Practice location:
  • Phone: 608-429-2325
  • Fax: 608-429-4895
Mailing address:
  • Phone: 608-429-2325
  • Fax: 608-429-4895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN D WOXLAND
Title or Position: PRESIDENT
Credential: RPH
Phone: 608-429-2325