Organization · Type 2 NPI

Agnesian Healthcare, Inc

Home Infusion Therapy Pharmacy · Fond Du Lac, WI

NPI number 1114992492 Active

Practice location

430 E Division St
Fond Du Lac, WI 54935-4560

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency	251F00000X	None listed
Home Infusion Therapy Pharmacy Primary	3336H0001X	None listed

Home Infusion Therapy Pharmacy: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusio…

260 other providers at this address

NPI record

NPI: 1114992492
Entity type: Organization (Type 2)
Issued: Feb 21, 2006
Last updated: Jun 5, 2024
Status: Active

Other names

<unavail>
ST Agnes Hospital Home Infusion · doing business as
ST Agnes Hospital Home Infusion · doing business as

Authorized official

Amy Grinnell
VP-Finance, CFO
(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 1114992492

Agnesian Healthcare, Inc's National Provider Identifier is 1114992492, issued on Feb 21, 2006. The primary taxonomy on file is Home Infusion Therapy Pharmacy (3336H0001X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jun 5, 2024.