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Group Health Cooperative Of South Central Wisconsin
Managed Care Organization Pharmacy in Fitchburg, Wisconsin
NPI 1790796290

Group Health Cooperative Of South Central Wisconsin is a Managed Care Organization Pharmacy based in Madison, WI and is specialized in Managed Care Organization Pharmacy. Group Health Cooperative Of South Central Wisconsin practices in Fitchburg, WI. The NPI Number for Group Health Cooperative Of South Central Wisconsin is 1790796290 and holds a License No. (Wisconsin).

The current practice location address for Group Health Cooperative Of South Central Wisconsin is 3051 Cahill Main, Fitchburg, WI and can be reached out via phone at 608-661-7220 and via fax at 608-661-7216.

Location: 3051 Cahill Main, Fitchburg, WI, 53744-4971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790796290
Provider Name
Group Health Cooperative Of South Central Wisconsin
Credential
Provider Entity Type
Organization
Address
3051 Cahill Main, Fitchburg, WI, 53744-4971
Phone Number
608-661-7220
Fax Number
608-661-7216
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2110283 01 PK
institution
Provider Business Practice Location Address Details
Address
3051 Cahill Main
City
Fitchburg
State
Wisconsin
Zip
53711-7109
Phone Number
608-661-7220
Fax Number
608-661-7216
person
Provider Business Mailing Address Details
Address
3051 Cahill Main
City
Fitchburg
State
Wisconsin
Zip
53711-7109
Phone Number
608-661-7220
Fax Number
608-661-7216
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
8468-42 (Wisconsin)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
()
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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