RASMUSSEN VILLAGE PHARMACY, INC.
840 Main St
Baldwin, WI 54002
715-684-2674
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336L0003X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
33079900 | WI | MEDICAID | |
NCPDP | 5105110 | OTHER |