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Forum Extended Care Services Of Wisconsin Inc
Long Term Care Pharmacy in Madison, Wisconsin
NPI 1013169598

Forum Extended Care Services Of Wisconsin Inc is a Long Term Care Pharmacy based in Chicago, WI and is specialized in Long Term Care Pharmacy. Forum Extended Care Services Of Wisconsin Inc practices in Madison, WI. The NPI Number for Forum Extended Care Services Of Wisconsin Inc is 1013169598 and holds a License No. (Wisconsin).

The current practice location address for Forum Extended Care Services Of Wisconsin Inc is 2445 Darwin Rd, Madison, WI and can be reached out via phone at 608-240-2280 and via fax at 608-240-2288. You can also correspond with Forum Extended Care Services Of Wisconsin Inc through the mailing address at 4201 W VICTORIA ST, CHICAGO, IL - 60646-6700 (mailing address contact number: 847-673-8727).

Location: 2445 Darwin Rd, Madison, WI, 60646-6700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013169598
Provider Name
Forum Extended Care Services Of Wisconsin Inc
Credential
Provider Entity Type
Organization
Address
2445 Darwin Rd, Madison, WI, 60646-6700
Phone Number
608-240-2280
Fax Number
608-240-2288
Provider Enumeration Date
10/16/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100001648 05 WI
2117872 01 PK
institution
Provider Business Practice Location Address Details
Address
2445 Darwin Rd
City
Madison
State
Wisconsin
Zip
53704-3116
Phone Number
608-240-2280
Fax Number
608-240-2288
person
Provider Business Mailing Address Details
Address
2445 Darwin Rd
City
Madison
State
Wisconsin
Zip
53704-3116
Phone Number
608-240-2280
Fax Number
608-240-2288
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
9417-42 (Wisconsin)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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