Organization · Type 2 NPI

Divine Savior Healthcare Inc

Non-Pharmacy Dispensing Site · Portage, WI

NPI number 1376974451 Active

Practice location

2817 New Pinery Rd
Portage, WI 53901-9240

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1376974451

Divine Savior Healthcare Inc's National Provider Identifier is 1376974451, issued on Nov 27, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Portage, WI. The record was last updated on Nov 27, 2013.