Agnesian Healthcare Enterprises Llc in Fond Du Lac - Community/retail Pharmacy
Agnesian Healthcare Enterprises Llc - NPI 1104891746
Agnesian Healthcare Enterprises Llc is a Community/retail Pharmacy in Fond Du Lac, Wisconsin. Agnesian Healthcare Enterprises Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Agnesian Healthcare Enterprises Llc is 1104891746. The last update date is 2016-06-20.
Agnesian Healthcare Enterprises Llc's current location address is 145 N Main St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209214660 and fax number 9209225011. The mailing address for Agnesian Healthcare Enterprises Llc is 145 N Main St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Agnesian Healthcare Enterprises Llc |
|---|---|
| Address | 145 N Main St, Fond Du Lac, Wisconsin |
| Phone Number | 9209214660 |
| Fax Number | 9209225011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Hyland Nancy |
| Credentials | PHARM D |
| Telephone Number | 9209268723 |
NPI Number Detail
| NPI Number | 1104891746 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2016-06-20 |
Provider Mailing Address Detail
| Address | 145 N Main St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353423 |
| Phone Number | 9209214660 |
| Fax Number | 9209225011 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 8270-42 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2109968 | PK | ||
| 33259200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Agnesian Healthcare Enterprises Llc by the Centers for Medicare & Medicaid Services?
The Agnesian Healthcare Enterprises Llc has been issued the NPI (National Provider Identifier) 1104891746, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Agnesian Healthcare Enterprises Llc?
The Agnesian Healthcare Enterprises Llc is situated at 145 N Main St, in the city of Fond Du Lac, state of WI, with the zip code 549353423.
What is Agnesian Healthcare Enterprises Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Agnesian Healthcare Enterprises Llc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date was the 1104891746 assigned to Agnesian Healthcare Enterprises Llc?
The Agnesian Healthcare Enterprises Llc was issued its 1104891746 on 2006-02-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Agnesian Healthcare Enterprises Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Agnesian Healthcare Enterprises Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-20.