Organization · Type 2 NPI

Prohealth Oconomowoc Memorial Hospital, Inc.

Community/Retail Pharmacy · Oconomowoc, WI

NPI number 1497942205 Active

Practice location

791 Summit Ave Ste 1106
Oconomowoc, WI 53066-3844

Call (262) 569-0284 Map

Fax (262) 569-0539

Mailing address

791 Summit Ave
Oconomowoc, WI 53066-3844

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	8772 (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 …

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NPI record

NPI: 1497942205
Entity type: Organization (Type 2)
Issued: Sep 26, 2007
Last updated: Dec 14, 2022
Status: Active

Other names

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Prohealth Pharmacy - Oconomowoc · doing business as
Prohealth Pharmacy - Oconomowoc · doing business as

Authorized official

Thomas Johnson
Reimbursement Manager
(262) 928-4704

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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 1497942205

Prohealth Oconomowoc Memorial Hospital, Inc.'s National Provider Identifier is 1497942205, issued on Sep 26, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Oconomowoc, WI. The record was last updated on Dec 14, 2022.