Kaukauna Prescription Center in Kaukauna - Pharmacy
Kaukauna Prescription Center - NPI 1376615575
Kaukauna Prescription Center is a Pharmacy in Kaukauna, Wisconsin. Kaukauna Prescription Center practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Kaukauna Prescription Center is 1376615575. The last update date is 2020-08-22.
Kaukauna Prescription Center's current location address is 200 E 2nd St, Kaukauna, Wisconsin. You can contact this provider via phone number 9207669200 and fax number 9207667998. The mailing address for Kaukauna Prescription Center is 200 E 2nd St, Kaukauna, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaukauna Prescription Center |
|---|---|
| Address | 200 E 2nd St, Kaukauna, Wisconsin |
| Phone Number | 9207669200 |
| Fax Number | 9207667998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Wallenfang Jerome |
| Credentials | RPH |
| Telephone Number | 9207669200 |
NPI Number Detail
| NPI Number | 1376615575 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 200 E 2nd St |
|---|---|
| City | Kaukauna |
| State | Wisconsin (WI) |
| Post Code | 541302524 |
| Phone Number | 9207669200 |
| Fax Number | 9207667998 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 8079042 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5112393 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 33127100 | WI | -- |
Post Comment/ Review Below
What is the Kaukauna Prescription Center's 1376615575?
The Kaukauna Prescription Center's NPI (National Provider Identifier) Number is 1376615575. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kaukauna Prescription Center's physical address?
The Kaukauna Prescription Center is physically located at 200 E 2Nd St, in the city of Kaukauna, WI, with the postal code 541302524.
What is Kaukauna Prescription Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kaukauna Prescription Center is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376615575 to Kaukauna Prescription Center?
The Centers for Medicare & Medicaid Services assigned the 1376615575 to Kaukauna Prescription Center on 2006-11-14.
As of what date was the information pertaining to Kaukauna Prescription Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kaukauna Prescription Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.