Organization · Type 2 NPI

Thedacare Medical Center - Wild Rose, Inc

Non-Pharmacy Dispensing Site · Wild Rose, WI

NPI number 1710018817 Active

Practice location

701 Grove Ave
Wild Rose, WI 54984-6901

Call (920) 622-6013 Map

Fax (920) 774-1026

Mailing address

PO Box 314
Wild Rose, WI 54984-0314

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000X47322-20 (WI)

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.)

9 other providers at this address

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About NPI 1710018817

Thedacare Medical Center - Wild Rose, Inc's National Provider Identifier is 1710018817, issued on Mar 8, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Wild Rose, WI. The record was last updated on Jul 31, 2015.