Organization · Type 2 NPI

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

Pharmacy · La Crosse, WI

NPI number 1194703512 Active

Practice location

700 West Ave S
La Crosse, WI 54601-4783

Call (608) 791-9724 Map

Fax (608) 791-9500

Mailing address

PO Box 860056, Attn: Revenue Recognition & Compliance
Minneapolis, MN 55486-0056

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	7639 (WI)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

236 other providers at this address

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NPI record

NPI: 1194703512
Entity type: Organization (Type 2)
Issued: Jan 5, 2006
Last updated: Mar 10, 2026
Status: Active

Other names

<unavail>
Mayo Clinic Health System la Crosse Hospital Pharmacy · doing business as
Mayo Clinic Health System la Crosse Hospital Pharmacy · doing business as
Mayo Clinic Health System-Franciscan Medical Center, Inc. · former legal business name

Authorized official

Adam Smith
CFO
(715) 838-5275

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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 1194703512

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.'s National Provider Identifier is 1194703512, issued on Jan 5, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in La Crosse, WI. The record was last updated on Mar 10, 2026.