Organization · Type 2 NPI

Dean Retail Services Inc

Community/Retail Pharmacy · Madison, WI

NPI number 1003926791 Active

Practice location

1211 Fish Hatchery Rd Ste 300
Madison, WI 53715-1909

Call (608) 252-8044 Map

Fax (608) 283-7325

Mailing address

P.o. Box 259443, Attn: Ssm Health Pharmacy Admin
Madison, WI 53725-9443

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	722642 (WI)
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

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NPI record

NPI: 1003926791
Entity type: Organization (Type 2)
Issued: Aug 30, 2006
Last updated: Oct 20, 2025
Status: Active
Subpart: Yes of Dean Health Systems, Inc

Other names

<unavail>
SSM Health Pharmacy · doing business as
SSM Health Pharmacy · doing business as

Authorized official

Amy Jo Grinnell
VP Finance
(608) 260-3586

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003926791

Dean Retail Services Inc's National Provider Identifier is 1003926791, issued on Aug 30, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Madison, WI. The record was last updated on Oct 20, 2025.