Organization · Type 2 NPI
Group Health Cooperative of South Central Wisconsin
Managed Care Organization Pharmacy · Fitchburg, WI
NPI number
1790796290
Active
Practice location
3051 Cahill Main
Fitchburg, WI 53711-7109
Fax (608) 661-7216
Mailing address
PO Box 44971
Madison, WI 53744-4971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic Pharmacy | 3336C0002X | None listed |
| Managed Care Organization Pharmacy Primary | 3336M0003X | 8468-42 (WI) |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
65 other providers at this address
- Group Health Cooperative of South Central Wi - Hatchery ClinicMulti-Specialty Clinic/Center Fitchburg, WI NPI 1205269917
- Adam Burns, ODOptometrist Fitchburg, WI NPI 1215467758
- Alison Ruppel, RDRegistered Dietitian Fitchburg, WI NPI 1164457313
- Amanda Marie Roth, CPHTPharmacy Technician Fitchburg, WI NPI 1124140157
- Amy Louise White, ODOptometrist Fitchburg, WI NPI 1609296607
- Angela Heine, CMTSpecialist Fitchburg, WI NPI 1104841089
- Ann Patkowski, ODOptometrist Fitchburg, WI NPI 1063437036
- Annie Dutcher, MPAS, PA-C, MPHPhysician Assistant Fitchburg, WI NPI 1669025458
- Avery SpencerFamily Nurse Practitioner Fitchburg, WI NPI 1568056794
- Bonnie OhmNurse Practitioner Fitchburg, WI NPI 1275805236
- Bonnie Orth, PHARM DPharmacist Fitchburg, WI NPI 1518144476
- Bryce Alan Kuehl, ODOptometrist Fitchburg, WI NPI 1326881939
About NPI 1790796290
Group Health Cooperative of South Central Wisconsin's National Provider Identifier is 1790796290, issued on Aug 10, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Fitchburg, WI. The record was last updated on Aug 8, 2013.