Organization · Type 2 NPI

Dean Retail Services, Inc.

Community/Retail Pharmacy · Beaver Dam, WI

NPI number 1396331401 Active

Practice location

130 Corporate Dr Ste 300
Beaver Dam, WI 53916-3116

Call (920) 885-8510 Map

Fax (920) 885-8513

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	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: 1396331401
Entity type: Organization (Type 2)
Issued: Dec 14, 2020
Last updated: Dec 6, 2022
Status: Active
Subpart: Yes of Dean Heatlh Systems, Inc.

Other names

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SSM Health Prescription Center · doing business as
SSM Health Prescription Center · doing business as

Authorized official

Amy Jo Grinnell
VP Finance
(608) 260-3586

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 1396331401

Dean Retail Services, Inc.'s National Provider Identifier is 1396331401, issued on Dec 14, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Beaver Dam, WI. The record was last updated on Dec 6, 2022.