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
Fax: (608) 845-0449
Website:
Authorized official contact:
Name: Rufenacht, Audrey PHARMD

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407932536 NPPES
Wisconsin MEDICAID 33241000
Wisconsin Other 2115167

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