Healthcare Provider Details

I. General information

NPI: 1538219241
Provider Name (Legal Business Name): MOST PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BROAD ST N
PRESCOTT WI
54021-1703
US

IV. Provider business mailing address

201 BROAD ST N
PRESCOTT WI
54021-1703
US

V. Phone/Fax

Practice location:
  • Phone: 715-262-3294
  • Fax: 715-262-5097
Mailing address:
  • Phone: 715-262-3294
  • Fax: 715-262-5097

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: MR. RANDALL MOST
Title or Position: OWNER
Credential: RPH
Phone: 715-262-3294