NPI 1245363563
Theda Clark Pharmacy
Practice location
- Address
- 130 2nd St, Neenah, WI 54956-2883
- Phone
- (920) 729-3090
Authorised official
- Name
- William Flett
- Title
- Cfo
- Phone
- (920) 454-4013
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1245363563
- Entity type
- Organization
- NPI issued
- 14 Mar 2007
- Record last updated
- 2 Jan 2024
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.