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General NPI Number Information
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NPI Number | 1801873476
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Entity Type | Organization
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Legal Business Name | STOXEN PHARMACY INC
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 2251 N SHORE DR
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City | RHINELANDER
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State | WI
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Zip | 54501-6710
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Country | US
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Telephone | 715-361-4770
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Fax | 715-369-3650
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Provider Business Mailing Address
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Address Line | 333 LOWVILLE RD
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City | RIO
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State | WI
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Zip | 53960-9437
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Country | US
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Telephone | 920-992-6800
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Fax | 920-992-6801
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Authorized Official
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Title or Position | PRESIDENT
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Name | CORLISS STOXEN
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Credential | BS PHARMACY
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Telephone | 715-361-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 8397-42
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License Number State | WI
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