Prohealth Pharmacy - Oconomowoc

LBN: Prohealth Oconomowoc Memorial Hospital, Inc.
Prohealth Pharmacy - Oconomowoc is an health care organization with primary practice located at 791 Summit Ave Ste 1106 , Oconomowoc WI 53066-3844. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prohealth Oconomowoc Memorial Hospital, Inc. can be contacted via phone (262) 569-0284, or through Johnson, Thomas via phone (262) 928-4704.

Contact Information

Primary practice address
791 Summit Ave Ste 1106 Oconomowoc WI 53066-3844
Phone: (262) 569-0284
Fax: (262) 569-0539
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Thomas
Phone: (262) 928-4704

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8772 Wisconsin

Profile Details

NPI number 1497942205
LBN Legal business name Prohealth Oconomowoc Memorial Hospital, Inc.
DBA Doing business as Prohealth Pharmacy - Oconomowoc
Authorized official Johnson, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Dec 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497942205 NPPES
Other 2111058 PK

Popular Providers