Ssm Health Pharmacy

LBN: Dean Retail Services, Inc.
Ssm Health Pharmacy is an health care organization with primary practice located at 752 N. High Point Rd Suite 300, Madison WI 53717-2236. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dean Retail Services, Inc. can be contacted via phone (608) 824-4500, or through Grinnell, Amy Jo via phone (608) 260-3586.

Contact Information

Primary practice address
752 N. High Point Rd Suite 300 Madison WI 53717-2236
Phone: (608) 824-4500
Fax: (608) 824-4928
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy Jo
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1780794479
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 Oct 25th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780794479 NPPES
Wisconsin MEDICAID 33243500

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