Provider Type Icon

BOSCOBEL PHARMACY INC NPI 1245249614


NPI Information

NPI: 1245249614
Provider Name: BOSCOBEL PHARMACY, INC

Former Legal Business Name: BOHLMAN DRUG STORE, INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 52D0716936

Address:
1028 WISCONSIN AVE
BOSCOBEL, WI
ZIP 53805
Phone: (608) 375-4466
Get Directions

BOSCOBEL PHARMACY, INC is a community/retail pharmacy pharmacy in Boscobel, WI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BOSCOBEL PHARMACY, INC NPI is 1245249614. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Bohlman Drug Store, Inc.

The provider's business location address is:

1028 WISCONSIN AVE
BOSCOBEL, WI
ZIP 53805-532
Phone: (608) 375-4466
Fax: (608) 375-2383

The provider's authorized official is Michelle E. Farrell .
The authorized official title is Pharmacist, Owner and has the following contact phone number (608) 375-4466.

The CLIA number assigned to this NPI record is 52D0716936 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 2/17/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition6474-042WISCONSINNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies6474-042WISCONSINNo
33336C0003XPharmacyCommunity/Retail Pharmacy6474-042WISCONSINYes
43336H0001XPharmacyHome Infusion Therapy Pharmacy6474-042WISCONSINNo
53336L0003XPharmacyLong Term Care PharmacyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15105312OTHERWISCONSINNCPDP
233051200MEDICAIDWISCONSIN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.