Ssm Health Pharmacy
LBN: Dean Retail Services Inc
Ssm Health Pharmacy is an health care organization with primary practice located at 1211 Fish Hatchery Rd , Madison WI 53715-1909. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dean Retail Services Inc can be contacted via phone (608) 252-8044, or through Grinnell, Amy Jo via phone (608) 260-3586.
Contact Information
Primary practice address
1211 Fish Hatchery Rd
Madison WI 53715-1909
Phone: (608) 252-8044
Fax: (608) 283-7325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 722642 | Wisconsin |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1003926791 |
|---|---|
| LBN Legal business name | Dean Retail Services Inc |
| DBA Doing business as | Ssm Health Pharmacy |
| Authorized official | Grinnell, Amy Jo |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 6th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003926791 | NPPES |
| Other | 2114678 | PK | |
| MEDICAID | 33064600 | PK |
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