Provider Demographics
NPI:1467098590
Name:STOUGHTON CHEMISTS, INC.
Entity Type:Organization
Organization Name:STOUGHTON CHEMISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAIBABU
Authorized Official - Middle Name:
Authorized Official - Last Name:APPALANENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-873-3244
Mailing Address - Street 1:100 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-1721
Mailing Address - Country:US
Mailing Address - Phone:608-873-3244
Mailing Address - Fax:608-873-4023
Practice Address - Street 1:100 E MAIN ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-1721
Practice Address - Country:US
Practice Address - Phone:608-873-3244
Practice Address - Fax:608-873-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy