institution
Agnesian Healthcare Enterprises Llc
Long Term Care Pharmacy in Waupun, Wisconsin
NPI 1174145031

Agnesian Healthcare Enterprises Llc is a Long Term Care Pharmacy based in Fond Du Lac, WI and is specialized in Long Term Care Pharmacy. Agnesian Healthcare Enterprises Llc practices in Waupun, WI. The NPI Number for Agnesian Healthcare Enterprises Llc is 1174145031 and holds a License No. (Wisconsin).

The current practice location address for Agnesian Healthcare Enterprises Llc is 904 W Main St, Waupun, WI and can be reached out via phone at 920-324-8703 and via fax at 920-324-3476.

Location: 904 W Main St, Waupun, WI, 54935-3423
institution
Provider Profile Details
NPI Number
1174145031
Provider Name
Agnesian Healthcare Enterprises Llc
Credential
Provider Entity Type
Organization
Address
904 W Main St, Waupun, WI, 54935-3423
Phone Number
920-324-8703
Fax Number
920-324-3476
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
33272300 05 WI
institution
Provider Business Practice Location Address Details
Address
904 W Main St
City
State
Zip
53963-1201
Phone Number
920-324-8703
Fax Number
920-324-3476
person
Provider Business Mailing Address Details
Address
904 W Main St
City
State
Zip
53963-1201
Phone Number
920-324-8703
Fax Number
920-324-3476
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
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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