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GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN NPI 1346251840


NPI Information

NPI: 1346251840
Provider Name: GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN

Doing Business As: GHC SAUK TRAILS PHARMACY

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
8202 EXCELSIOR DR
MADISON, WI
ZIP 53717
Phone: (608) 831-1773
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GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN is a managed care organization pharmacy pharmacy in Madison, WI. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN NPI is 1346251840. The provider is registered as an organization entity type.
The provider Is Doing Business As Ghc Sauk Trails Pharmacy.

The provider's business location address is:

8202 EXCELSIOR DR
MADISON, WI
ZIP 53717-906
Phone: (608) 831-1773
Fax: (608) 828-4843

The provider's authorized official is Laurie Flagel Dean .
The authorized official title is Operation Coordinator and has the following contact phone number (608) 828-4811.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 9/30/2016.


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
13336C0002XPharmacyClinic PharmacyNo
23336M0003XPharmacyManaged Care Organization Pharmacy7386-42WISCONSINYes

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
12108702OTHERPK

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: 11/14/2023

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