Divine Savior Healthcare, Inc. in Portage - Pharmacy
Divine Savior Healthcare, Inc. - NPI 1710133095
Divine Savior Healthcare, Inc. is a Pharmacy in Portage, Wisconsin. Divine Savior Healthcare, Inc. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Divine Savior Healthcare, Inc. is 1710133095. The last update date is 2008-08-18.
Divine Savior Healthcare, Inc.'s current location address is Po Box 387, Portage, Wisconsin. You can contact this provider via phone number 6087424131. The mailing address for Divine Savior Healthcare, Inc. is Po Box 387, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Savior Healthcare, Inc. |
|---|---|
| Address | Po Box 387, Portage, Wisconsin |
| Phone Number | 6087424131 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Nelson Marlin 'Pete' |
| Telephone Number | 6087424131 |
NPI Number Detail
| NPI Number | 1710133095 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | Po Box 387 |
|---|---|
| City | Portage |
| State | Wisconsin (WI) |
| Post Code | 539010387 |
| Phone Number | 6087424131 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 8330-042 |
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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 |
|---|---|---|---|
| 33113100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Divine Savior Healthcare, Inc. by the Centers for Medicare & Medicaid Services?
The Divine Savior Healthcare, Inc. has been assigned the NPI (National Provider Identifier) 1710133095. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Divine Savior Healthcare, Inc.?
The Divine Savior Healthcare, Inc. is physically situated at Po Box 387, in the city of Portage, state of WI, with the postal code 539010387.
What is Divine Savior Healthcare, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Divine Savior Healthcare, Inc. is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710133095 to Divine Savior Healthcare, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1710133095 to Divine Savior Healthcare, Inc. on 2008-08-18.
When was the information related to Divine Savior Healthcare, Inc. most recently updated or refreshed?
The details pertaining to the Divine Savior Healthcare, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-18.