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Den Dia Iv
Community/Retail Pharmacy in De Pere, Wisconsin
NPI 1932328242

Den Dia Iv is a Community/Retail Pharmacy based in De Pere, WI and is specialized in Community/Retail Pharmacy. Den Dia Iv practices in De Pere, WI. The NPI Number for Den Dia Iv is 1932328242 and holds a License No. (Wisconsin).

The current practice location address for Den Dia Iv is 375 Main Ave, De Pere, WI and can be reached out via phone at 920-336-6128.

Location: 375 Main Ave, De Pere, WI, 54115-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932328242
Provider Name
Den Dia Iv
Credential
Provider Entity Type
Organization
Address
375 Main Ave, De Pere, WI, 54115-2202
Phone Number
920-336-6128
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5103332 01 OTHER ID NUMBER
5103332 01 OTHER ID NUMBER-COMMERCIAL NUMBER
33055200 05 WI
institution
Provider Business Practice Location Address Details
Address
375 Main Ave
City
De Pere
State
Wisconsin
Zip
54115-2202
Phone Number
920-336-6128
Fax Number
person
Provider Business Mailing Address Details
Address
375 Main Ave
City
De Pere
State
Wisconsin
Zip
54115-2202
Phone Number
920-336-6128
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
6162042 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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