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NPI Code Detail

MEDICARE: MPL INC

MEDICARE: MPL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy540542WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12112119OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215948864
Entity Type Code : Organization
Provider Name (Legal Business Name) : MPL INC
Provider Business Mailing Address
First Line : 1907 WEST AVE S
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-6206
Country : US
Telephone Number : 608-788-4500
Fax Number : 608-788-4501
Provider Business Practice Location Address
First Line : 1907 WEST AVE S
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-6206
Country : US
Telephone Number : 608-788-4500
Fax Number : 608-788-4501
Authorized Official
Title or Position : OWNER
Name : WAYNE LOVELAND
Credential : RPH
Telephone Number : 608-788-4500
Provider Enumeration Date : 08/10/2006
Last Update Date : 05/05/2015

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Directions to “MPL INC ” Practice Location

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