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Divine Savior Healthcare, Inc.
Pharmacy in Portage, Wisconsin
NPI 1710133095

Divine Savior Healthcare, Inc. is a Pharmacy based in Chicago, WI. Divine Savior Healthcare, Inc. practices in Portage, WI. The NPI Number for Divine Savior Healthcare, Inc. is 1710133095 and holds a License No. 8330-042 (Wisconsin).

The current practice location address for Divine Savior Healthcare, Inc. is 2817 New Pinery Rd, Portage, WI and can be reached out via phone at 608-742-4131.

Location: 2817 New Pinery Rd, Portage, WI, 60673-1299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710133095
Provider Name
Divine Savior Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
2817 New Pinery Rd, Portage, WI, 60673-1299
Phone Number
608-742-4131
Fax Number
Provider Enumeration Date
08/18/2008
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33113100 05 WI
institution
Provider Business Practice Location Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9257
Phone Number
608-742-4131
Fax Number
person
Provider Business Mailing Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9257
Phone Number
608-742-4131
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
8330-042 (Wisconsin)
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.
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