St Marys Care Center Pharmacy
LBN: Ssm Health Care Of Wisconsin, Inc.
St Marys Care Center Pharmacy is an health care organization with primary practice located at 3401 Maple Grove Dr , Madison WI 53719-5013. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Ssm Health Care Of Wisconsin, Inc. can be contacted via phone (608) 845-0447, or through Rufenacht, Audrey via phone (608) 845-0447.
Contact Information
Primary practice address
3401 Maple Grove Dr
Madison WI 53719-5013
Phone: (608) 845-0447
Fax: (608) 845-0449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X | 8247-42 | Wisconsin |
Profile Details
NPI number | 1407932536 |
---|---|
LBN Legal business name | Ssm Health Care Of Wisconsin, Inc. |
DBA Doing business as | St Marys Care Center Pharmacy |
Authorized official | Rufenacht, Audrey PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 31st, 2006 |
Last updated | Oct 25th, 2021 - about 3 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 | 1407932536 | NPPES |
Wisconsin | MEDICAID | 33241000 | |
Wisconsin | Other | 2115167 |
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