KIMBERLY PHARMACY, INC.
Suppliers at Kimberly Ave, Kimberly, WI

License number
Wisconsin 5651-042
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MR. KEITH JOHN VAN ASTEN RPH
Title: PRESIDENT
Phone: (920) 788-1940
Address
Address
110 E Kimberly Ave, Kimberly, WI 54136
National Provider ID: 1447311246
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIMBERLY PHARMACY, INC

820 W 2 St, Kimberly, WI 54136

Industry:
Drug Store
Registration:
Jun 26, 1974
State ID:
1K06067
Business type:
Domestic Business
Presidents:
Barbara V. Asten (Vice-President),Keith John Van Asten (President),Keith V. Asten (President)

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