Eastside Pharmacy Associates, Ltd in Monona - Pharmacy
Eastside Pharmacy Associates, Ltd - NPI 1841302767
Eastside Pharmacy Associates, Ltd is a Pharmacy in Monona, Wisconsin. Eastside Pharmacy Associates, Ltd practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Eastside Pharmacy Associates, Ltd is 1841302767. The last update date is 2023-03-07.
Eastside Pharmacy Associates, Ltd's current location address is 4205 Monona Dr, Monona, Wisconsin. You can contact this provider via phone number 6082218151 and fax number 6082214682. The mailing address for Eastside Pharmacy Associates, Ltd is 4205 Monona Dr, Monona, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Pharmacy Associates, Ltd |
|---|---|
| Address | 4205 Monona Dr, Monona, Wisconsin |
| Phone Number | 6082218151 |
| Fax Number | 6082214682 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHAR |
|---|---|
| Authorized Official Name | Hewitt C Eric |
| Credentials | PHARMD. |
| Telephone Number | 6082218151 |
NPI Number Detail
| NPI Number | 1841302767 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 4205 Monona Dr |
|---|---|
| City | Monona |
| State | Wisconsin (WI) |
| Post Code | 537161663 |
| Phone Number | 6082218151 |
| Fax Number | 6082214682 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 8942-042 |
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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 |
|---|---|---|---|
| 5117014 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 33046300 | WI | -- |
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What is the Eastside Pharmacy Associates, Ltd's 1841302767?
The Eastside Pharmacy Associates, Ltd's NPI (National Provider Identifier) Number is 1841302767. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eastside Pharmacy Associates, Ltd located?
The Eastside Pharmacy Associates, Ltd is located at 4205 Monona Dr, Monona, WI 537161663.
What is Eastside Pharmacy Associates, Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eastside Pharmacy Associates, Ltd is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841302767 to Eastside Pharmacy Associates, Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1841302767 to Eastside Pharmacy Associates, Ltd on 2006-08-31.
As of what date were the Eastside Pharmacy Associates, Ltd's details last updated?
The information pertaining to the Eastside Pharmacy Associates, Ltd, including its address, specialty, and other details, was most recently updated on 2023-03-07.
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