institution
Thedacare Medical Center - Wild Rose, Inc
Non-Pharmacy Dispensing Site in Wild Rose, Wisconsin
NPI 1679095293

Thedacare Medical Center - Wild Rose, Inc is a Non-Pharmacy Dispensing Site based in Eden Prairie, WI. Thedacare Medical Center - Wild Rose, Inc practices in Wild Rose, WI. The NPI Number for Thedacare Medical Center - Wild Rose, Inc is 1679095293 and holds a License No. 1004 (Wisconsin).

The current practice location address for Thedacare Medical Center - Wild Rose, Inc is 601 Grove Ave, Wild Rose, WI and can be reached out via phone at 920-622-3257 and via fax at 920-622-6021.

Location: 601 Grove Ave, Wild Rose, WI, 55344-3248
institution
Provider Profile Details
NPI Number
1679095293
Provider Name
Thedacare Medical Center - Wild Rose, Inc
Credential
Provider Entity Type
Organization
Address
601 Grove Ave, Wild Rose, WI, 55344-3248
Phone Number
920-622-3257
Fax Number
920-622-6021
Provider Enumeration Date
07/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 Grove Ave
City
State
Zip
54984-6903
Phone Number
920-622-3257
Fax Number
920-622-6021
person
Provider Business Mailing Address Details
Address
601 Grove Ave
City
State
Zip
54984-6903
Phone Number
920-622-3257
Fax Number
920-622-6021
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
1004 (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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