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Wisconsin Cvs Pharmacy Llc
Community/Retail Pharmacy in Superior, Wisconsin
NPI 1366707390

Wisconsin Cvs Pharmacy Llc is a Community/Retail Pharmacy based in Woonsocket, WI and is specialized in Community/Retail Pharmacy. Wisconsin Cvs Pharmacy Llc practices in Superior, WI. The NPI Number for Wisconsin Cvs Pharmacy Llc is 1366707390 and holds a License No. (Wisconsin).

The current practice location address for Wisconsin Cvs Pharmacy Llc is 2631 Tower Ave, Superior, WI and can be reached out via phone at 715-392-0487.

Location: 2631 Tower Ave, Superior, WI, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366707390
Provider Name
Wisconsin Cvs Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
2631 Tower Ave, Superior, WI, 02895-6146
Phone Number
715-392-0487
Fax Number
Provider Enumeration Date
07/05/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366707390 05 WI
9150 01 WI PHARMACY STATE LICENSE
5133234 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
2631 Tower Ave
City
Superior
State
Wisconsin
Zip
54880-4846
Phone Number
715-392-0487
Fax Number
person
Provider Business Mailing Address Details
Address
2631 Tower Ave
City
Superior
State
Wisconsin
Zip
54880-4846
Phone Number
715-392-0487
Fax Number
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
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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