Whalio Doctors

NPI 1093824880

Mc5 INC

Organisation Community/Retail Pharmacy Whitewater, WI

Practice location

Address
1173 W Main St, Whitewater, WI 53190-1672
Phone
(262) 473-5065
Fax
(262) 473-7357
Mailing address
694 S Wells St, Lake Geneva, WI 53147-2106

Authorised official

Name
James McCullough
Title
Vice President
Phone
(262) 248-8582

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 6604042 (WI)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1093824880
Entity type
Organization
NPI issued
29 Aug 2006
Record last updated
9 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.