Thedacare Pharmacy - Wautoma
LBN: Thedacare Medical Center-Berlin Inc
Thedacare Pharmacy - Wautoma is an health care organization with primary practice located at N2934 Hwy 22 N , Wautoma WI 54982-5267. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Thedacare Medical Center-Berlin Inc can be contacted via phone (920) 787-5757, or through Gies, Alissa via phone (920) 787-5757.
Contact Information
Primary practice address
N2934 Hwy 22 N
Wautoma WI 54982-5267
Phone: (920) 787-5757
Fax: (920) 787-5382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7733-42 | Wisconsin |
Profile Details
| NPI number | 1184784159 |
|---|---|
| LBN Legal business name | Thedacare Medical Center-Berlin Inc |
| DBA Doing business as | Thedacare Pharmacy - Wautoma |
| Authorized official | Gies, Alissa PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Apr 18th, 2017 - about 7 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 | 1184784159 | NPPES |
| Wisconsin | MEDICAID | 33230600 | |
| Wisconsin | Other | 2108771 |
Popular Providers
-
Shopko Stores Operating Co., Llc
N2934 State Road 22 , Wautoma WI 54982-5267 -
Bioscrip Pharmacy, Inc.
197 8Th Ave , New York NY 10011-1605 -
Bioscrip Pharmacy, Inc.
8490 Santa Monica Blvd Ste 1, West Hollywood CA 90069-4261 -
Aurora Pharmacy Inc
900 E Division Dr. , Wautoma WI 54982-6944 -
La Quinta Pharmacy
78150 Calle Tampico Ste 103, La Quinta CA 92253-2907 -
Bioscrip Pharmacy, Inc.
2100 North Orange Avenue, Suites 101B & 201B , Orlando FL 32804 -
Wautoma Hometown Pharmacy Llc
W7810 State Road 21 Ste B , Wautoma WI 54982-7702 -
Bioscrip Pharmacy, Inc.
342 Massachusetts Ave Ste 103, Indianapolis IN 46204-2192