Provider Demographics
NPI:1538219241
Name:MOST PHARMACY INC.
Entity type:Organization
Organization Name:MOST PHARMACY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:715-262-3294
Mailing Address - Street 1:201 BROAD ST N
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:WI
Mailing Address - Zip Code:54021-1703
Mailing Address - Country:US
Mailing Address - Phone:715-262-3294
Mailing Address - Fax:715-262-5097
Practice Address - Street 1:201 BROAD ST N
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:WI
Practice Address - Zip Code:54021-1703
Practice Address - Country:US
Practice Address - Phone:715-262-3294
Practice Address - Fax:715-262-5097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33030700Medicaid
WI0722040001Medicare ID - Type Unspecified