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Pamida Stores Operating Co. Llc
Oxygen Equipment & Supplies (DME) in Clintonville, Wisconsin
NPI 1124065875

Pamida Stores Operating Co. Llc is a Oxygen Equipment & Supplies (DME) based in Clintonville, WI and is specialized in Oxygen Equipment & Supplies. Pamida Stores Operating Co. Llc practices in Clintonville, WI. The NPI Number for Pamida Stores Operating Co. Llc is 1124065875 and holds a License No. (Wisconsin).

The current practice location address for Pamida Stores Operating Co. Llc is 8 S Main St, Clintonville, WI and can be reached out via phone at 715-823-2106 and via fax at 715-823-1322.

Location: 8 S Main St, Clintonville, WI, 54929-1565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124065875
Provider Name
Pamida Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
8 S Main St, Clintonville, WI, 54929-1565
Phone Number
715-823-2106
Fax Number
715-823-1322
Provider Enumeration Date
06/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5105475 01 NCPDP NUMBER
5694490114 01 MEDICARE
41738400 05 WI
institution
Provider Business Practice Location Address Details
Address
8 S Main St
City
Clintonville
State
Wisconsin
Zip
54929-1565
Phone Number
715-823-2106
Fax Number
715-823-1322
person
Provider Business Mailing Address Details
Address
8 S Main St
City
Clintonville
State
Wisconsin
Zip
54929-1565
Phone Number
715-823-2106
Fax Number
715-823-1322
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
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