COMMUNITY MEMORIAL HOSPITAL is a non pharmacy dispensing site in Gillett, WI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) COMMUNITY MEMORIAL HOSPITAL NPI is 1407186141. The provider is registered as an organization entity type.
The provider Other Name Is Cmh Primary Care Clinic, Remote Dispensing Registration.
The provider's business location address is:
340 N GREEN BAY AVE
GILLETT, WI
ZIP 54124-325
Phone: (920) 855-2823
Fax: (920) 855-6343
The provider's authorized official is Jason E Knox .
The authorized official title is Pharmacy Manager and has the following contact phone number (920) 846-3444.
The enumeration date for this NPI number is 12/31/2009 and was last updated on 3/7/2023.