DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PARK PHARMACY INC

MEDICARE: PARK PHARMACY 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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)7643-042WI
23336L0003XLong Term Care Pharmacy7643-42WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316940679
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARK PHARMACY INC
Provider Business Mailing Address
First Line : 138 1/2 2ND AVE N
Second Line :
City : PARK FALLS
State : WI
Zip : 54552-1214
Country : US
Telephone Number : 715-762-3248
Fax Number : 715-762-2980
Provider Business Practice Location Address
First Line : 138 1/2 2ND AVE N
Second Line :
City : PARK FALLS
State : WI
Zip : 54552-1214
Country : US
Telephone Number : 715-762-3248
Fax Number : 715-762-2980
Authorized Official
Title or Position : OWNER
Name : MR. MARK PECHACEK
Credential :
Telephone Number : 715-762-3248
Provider Enumeration Date : 05/31/2005
Last Update Date : 05/03/2018

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:
2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106
Practice Phone: 605-373-0100
Practice Fax:
1689677999 — PARK PHARMACY INC
Practice Location Address:
138 2ND AVE N
PARK FALLS, WI
54552-1214
Practice Phone: 715-762-3248
Practice Fax: 715-762-2980
1013194992 — PEGGY ANN PROHASKA RPH
Practice Location Address:
138 2ND AVE N
PARK FALLS, WI
54552-1214
Practice Phone: 715-762-3283
Practice Fax: 715-762-2980
1952588774 — MARK STEVEN PECHACEK RPH
Practice Location Address:
138 2ND AVE N
PARK FALLS, WI
54552-1214
Practice Phone: 715-762-3283
Practice Fax: 715-762-2980
1215114046 — MCKENZIE LEIGH KRAUSE RPH
Practice Location Address:
138 2ND AVE N
PARK FALLS, WI
54552-1214
Practice Phone: 715-762-3283
Practice Fax: 715-762-2980
1013194836 — RONALD LEONARD SCHMIDT RPH
Practice Location Address:
138 2ND AVE N
PARK FALLS, WI
54552-1214
Practice Phone: 715-762-3283
Practice Fax: 715-762-2980

Directions to “PARK PHARMACY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.