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Thomas A Christianson
Durable Medical Equipment & Medical Supplies in Portage, Wisconsin
NPI 1720162068

Thomas A Christianson is a Durable Medical Equipment & Medical Supplies based in Portage, WI. Thomas A Christianson practices in Portage, WI. The NPI Number for Thomas A Christianson is 1720162068 and holds a License No. 9631-040 (Wisconsin).

The current practice location address for Thomas A Christianson is 117 E Cook St, Portage, WI and can be reached out via phone at 608-742-3737 and via fax at 608-742-0216.

Location: 117 E Cook St, Portage, WI, 53901-2204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720162068
Provider Name
Thomas A Christianson
Credential
Provider Entity Type
Organization
Address
117 E Cook St, Portage, WI, 53901-2204
Phone Number
608-742-3737
Fax Number
608-742-0216
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33054700 05 WI
institution
Provider Business Practice Location Address Details
Address
117 E Cook St
City
Portage
State
Wisconsin
Zip
53901-2204
Phone Number
608-742-3737
Fax Number
608-742-0216
person
Provider Business Mailing Address Details
Address
117 E Cook St
City
Portage
State
Wisconsin
Zip
53901-2204
Phone Number
608-742-3737
Fax Number
608-742-0216
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
6336 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
9631-040 (Wisconsin)
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.
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