Provider Demographics
NPI:1154146157
Name:CPI ASHLAND, LLC
Entity type:Organization
Organization Name:CPI ASHLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-723-9192
Mailing Address - Street 1:13 E SPRUCE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-2579
Mailing Address - Country:US
Mailing Address - Phone:715-861-4422
Mailing Address - Fax:
Practice Address - Street 1:510 ELLIS AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-1632
Practice Address - Country:US
Practice Address - Phone:715-682-2701
Practice Address - Fax:715-682-2556
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CPI ASHLAND, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy