institution
Divine Savior Healthcare, Inc.
Long Term Care Pharmacy in Portage, Wisconsin
NPI 1831693100

Divine Savior Healthcare, Inc. is a Long Term Care Pharmacy based in Portage, WI and is specialized in Long Term Care Pharmacy. Divine Savior Healthcare, Inc. practices in Portage, WI. The NPI Number for Divine Savior Healthcare, Inc. is 1831693100 and holds a License No. (Wisconsin).

The current practice location address for Divine Savior Healthcare, Inc. is 2817 New Pinery Road, Portage, WI and can be reached out via phone at 608-745-5603 and via fax at 608-742-6098.

Location: 2817 New Pinery Road, Portage, WI, 53901
institution
Provider Profile Details
NPI Number
1831693100
Provider Name
Divine Savior Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
2817 New Pinery Road, Portage, WI, 53901
Phone Number
608-745-5603
Fax Number
608-742-6098
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
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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 Road
City
State
Zip
53901
Phone Number
608-745-5603
Fax Number
608-742-6098
person
Provider Business Mailing Address Details
Address
2817 New Pinery Road
City
State
Zip
53901
Phone Number
608-745-5603
Fax Number
608-742-6098
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
(Wisconsin)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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