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VERNON MEMORIAL HEALTHCARE INC NPI 1558300632


NPI Information

NPI: 1558300632
Provider Name: VERNON MEMORIAL HEALTHCARE INC

Doing Business As: VERNON MEMORIAL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
407 S MAIN ST
SUITE 104
VIROQUA, WI
ZIP 54665
Phone: (608) 637-4718
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VERNON MEMORIAL HEALTHCARE INC is a community/retail pharmacy pharmacy in Viroqua, 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. VERNON MEMORIAL HEALTHCARE INC NPI is 1558300632. The provider is registered as an organization entity type.
The provider Is Doing Business As Vernon Memorial Pharmacy.

The provider's business location address is:

407 S MAIN ST
SUITE 104
VIROQUA, WI
ZIP 54665-100
Phone: (608) 637-4718
Fax: (608) 637-4719

The provider's authorized official is David Hartberg .
The authorized official title is Ceo and has the following contact phone number (608) 637-4796.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 1/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy8572-42WISCONSINYes

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
12110890OTHERPK
233289200MEDICAIDWISCONSIN

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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