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DEGEN-BERGLUND INC NPI 1215965611


NPI Information

NPI: 1215965611
Provider Name: DEGEN-BERGLUND, INC
Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
2441 GREEN BAY ST
LA CROSSE, WI
ZIP 54601
Phone: (608) 775-8571
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DEGEN-BERGLUND, INC is a home infusion therapy pharmacy pharmacy in La Crosse, WI. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. DEGEN-BERGLUND, INC NPI is 1215965611. The provider is registered as an organization entity type.

The provider's business location address is:

2441 GREEN BAY ST
LA CROSSE, WI
ZIP 54601
Phone: (608) 775-8571
Fax: (608) 775-8578

The provider's authorized official is Daniel Reckase .
The authorized official title is Chief Executive Officer and has the following contact phone number (608) 775-8500.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
23336H0001XPharmacyHome Infusion Therapy Pharmacy8773-042WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15106489OTHERWISCONSINNCPDP
20516526MEDICAIDIOWA
333236300MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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