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Thedacare, Incorporated
Non-Pharmacy Dispensing Site in Appleton, Wisconsin
NPI 1356424683

Thedacare, Incorporated is a Non-Pharmacy Dispensing Site based in Appleton, WI. Thedacare, Incorporated practices in Appleton, WI. The NPI Number for Thedacare, Incorporated is 1356424683 and holds a License No. 40901020 (Wisconsin).

The current practice location address for Thedacare, Incorporated is 2701 E Enterprise Ave, Appleton, WI and can be reached out via phone at 920-954-2551 and via fax at 920-954-2554.

Location: 2701 E Enterprise Ave, Appleton, WI, 54913-7729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356424683
Provider Name
Thedacare, Incorporated
Credential
Provider Entity Type
Organization
Address
2701 E Enterprise Ave, Appleton, WI, 54913-7729
Phone Number
920-954-2551
Fax Number
920-954-2554
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32566400 05 WI
5127178 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
2701 E Enterprise Ave
City
Appleton
State
Wisconsin
Zip
54913-7729
Phone Number
920-954-2551
Fax Number
920-954-2554
person
Provider Business Mailing Address Details
Address
2701 E Enterprise Ave
City
Appleton
State
Wisconsin
Zip
54913-7729
Phone Number
920-954-2551
Fax Number
920-954-2554
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
40901020 (Wisconsin)
Definition
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.)
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