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ASPIRUS MEDICAL GROUP INC. NPI 1588766505


NPI Information

NPI: 1588766505
Provider Name: ASPIRUS MEDICAL GROUP, INC.

Doing Business As: ASPIRUS CLINIC PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
425 PINE RIDGE BLVD STE 103
WAUSAU, WI
ZIP 54401
Phone: (715) 847-2547
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ASPIRUS MEDICAL GROUP, INC. is a clinic pharmacy pharmacy in Wausau, WI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ASPIRUS MEDICAL GROUP, INC. NPI is 1588766505. The provider is registered as an organization entity type.
The provider Is Doing Business As Aspirus Clinic Pharmacy.

The provider's business location address is:

425 PINE RIDGE BLVD STE 103
WAUSAU, WI
ZIP 54401-122
Phone: (715) 847-2547
Fax: (715) 847-2551

The provider's authorized official is Lori Peck .
The authorized official title is Vp Revenue Cycle and has the following contact phone number (715) 847-2988.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 12/22/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336C0002XPharmacyClinic Pharmacy9252-42WISCONSINYes

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
11588766505MEDICAIDWISCONSIN

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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