Organization · Type 2 NPI

Ladd Memorial Hospital

Community/Retail Pharmacy · Osceola, WI

NPI number 1285926501 Active

Practice location

2600 65th Avenue
Osceola, WI 54020-0218

Call (715) 294-4050 Map

Fax (715) 294-5690

Mailing address

PO Box 218
Osceola, WI 54020-0218

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	9071-042 (WI)

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 …

13 other providers at this address

Other community/retail pharmacy providers in Osceola

Douglas E NykanenCommunity/Retail Pharmacy Osceola, WI NPI 1669535274

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NPI record

NPI: 1285926501
Entity type: Organization (Type 2)
Issued: May 4, 2011
Last updated: Jan 10, 2020
Status: Active

Other names

<unavail>
Osceola Clinic Pharmacy · doing business as
Osceola Clinic Pharmacy · doing business as

Authorized official

Matt Forge
Chief Executive Officer
(715) 294-5622

Verify this record

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 1285926501

Ladd Memorial Hospital's National Provider Identifier is 1285926501, issued on May 4, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Osceola, WI. The record was last updated on Jan 10, 2020.