institution
La Clinica De Los Campesinos, Inc
Clinic Pharmacy in Wautoma, Wisconsin
NPI 1952027609

La Clinica De Los Campesinos, Inc is a Clinic Pharmacy based in Wautoma, WI and is specialized in Clinic Pharmacy. La Clinica De Los Campesinos, Inc practices in Wautoma, WI. The NPI Number for La Clinica De Los Campesinos, Inc is 1952027609 and holds a License No. (Wisconsin).

The current practice location address for La Clinica De Los Campesinos, Inc is 400 S Townline Rd, Wautoma, WI and can be reached out via phone at 920-787-5514 and via fax at 920-787-4737.

Location: 400 S Townline Rd, Wautoma, WI, 54982-1440
institution
Provider Profile Details
NPI Number
1952027609
Provider Name
La Clinica De Los Campesinos, Inc
Credential
Provider Entity Type
Organization
Address
400 S Townline Rd, Wautoma, WI, 54982-1440
Phone Number
920-787-5514
Fax Number
920-787-4737
Provider Enumeration Date
10/14/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32955200 05 WI
institution
Provider Business Practice Location Address Details
Address
400 S Townline Rd
City
State
Zip
54982-6922
Phone Number
920-787-5514
Fax Number
920-787-4737
person
Provider Business Mailing Address Details
Address
400 S Townline Rd
City
State
Zip
54982-6922
Phone Number
920-787-5514
Fax Number
920-787-4737
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
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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.
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