DEN DIA IV NPI 1932328242

NPI Information

  • NPI: 1932328242
  • Provider Name: DEN DIA IV
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: STOWE DRUG STORE
  • Address: 375 MAIN AVE
    DE PERE, WI
    ZIP 54115
  • Phone: (920) 336-6128

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NPI Details

DEN DIA IV is a community/retail pharmacy pharmacy in De Pere, 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. DEN DIA IV NPI is 1932328242. The provider is registered as an organization entity type.
The provider Is Doing Business As Stowe Drug Store.

The provider's business location address is:

375 MAIN AVE
DE PERE, WI
ZIP 54115-202
Phone: (920) 336-6128

The provider's authorized official is Dennis Larson .
The authorized official title is President And Pharmacist and has the following contact phone number (920) 336-6128.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 9/12/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy6162042WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133055200MEDICAIDWISCONSIN
24572910001MEDICARE NSC
35103332OTHEROTHER ID NUMBER
45103332OTHEROTHER ID NUMBER-COMMERCIAL 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: 11/21/2025

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