Den Dia Iv is a Pharmacy in De Pere, Wisconsin. Den Dia Iv practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Den Dia Iv is 1932328242. The last update date is 2007-09-12.
Den Dia Iv's current location address is 375 Main Ave, De Pere, Wisconsin. You can contact this provider via phone number 9203366128. The mailing address for Den Dia Iv is 375 Main Ave, De Pere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Den Dia Iv |
|---|---|
| Address | 375 Main Ave, De Pere, Wisconsin |
| Phone Number | 9203366128 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Larson Dennis |
| Credentials | RPH |
| Telephone Number | 9203366128 |
NPI Number Detail
| NPI Number | 1932328242 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 375 Main Ave |
|---|---|
| City | De Pere |
| State | Wisconsin (WI) |
| Post Code | 541152202 |
| Phone Number | 9203366128 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
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 presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5103332 | OTHER ID NUMBER | ||
| 5103332 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 33055200 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Den Dia Iv by the Centers for Medicare & Medicaid Services?
The Den Dia Iv has been issued the NPI (National Provider Identifier) 1932328242. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Den Dia Iv is geographically located?
The Den Dia Iv is physically situated at the following location: 375 Main Ave, De Pere, WI, 541152202.
What is Den Dia Iv's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Den Dia Iv's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
When did the Den Dia Iv receive its 1932328242?
The Den Dia Iv was issued its 1932328242 on 2007-04-25, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Den Dia Iv most recently updated or revised?
The details related to Den Dia Iv, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-12.