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PHILLIPS TOTAL CARE PHARMACY INC. NPI 1639495237


NPI Information

NPI: 1639495237
Provider Name: PHILLIPS TOTAL CARE PHARMACY INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
125 E STATE ST
MAUSTON, WI
ZIP 53948
Phone: (608) 847-5949
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PHILLIPS TOTAL CARE PHARMACY INC. is a long term care pharmacy pharmacy in Mauston, WI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PHILLIPS TOTAL CARE PHARMACY INC. NPI is 1639495237. The provider is registered as an organization entity type.

The provider's business location address is:

125 E STATE ST
MAUSTON, WI
ZIP 53948-344
Phone: (608) 847-5949
Fax: (608) 847-5199

The provider's authorized official is Wayne E Macardy .
The authorized official title is Owner/pharmacist and has the following contact phone number (608) 847-5949.

The enumeration date for this NPI number is 4/8/2010 and was last updated on 8/5/2011.


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
13336L0003XPharmacyLong Term Care Pharmacy9001-42WISCONSINYes

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
1100009037MEDICAIDWISCONSIN
25132181OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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