Agnesian Healthcare Enterprises Llc in Waupun - Long Term Care Pharmacy
Agnesian Healthcare Enterprises Llc - NPI 1366417917
Agnesian Healthcare Enterprises Llc is a Long Term Care Pharmacy in Waupun, Wisconsin. Agnesian Healthcare Enterprises Llc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Agnesian Healthcare Enterprises Llc is 1366417917. The last update date is 2016-06-20.
Agnesian Healthcare Enterprises Llc's current location address is 904 W Main St, Waupun, Wisconsin. You can contact this provider via phone number 9203243010 and fax number 9203244370. The mailing address for Agnesian Healthcare Enterprises Llc is 904 W Main St, Waupun, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Agnesian Healthcare Enterprises Llc |
|---|---|
| Address | 904 W Main St, Waupun, Wisconsin |
| Phone Number | 9203243010 |
| Fax Number | 9203244370 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR R |
|---|---|
| Authorized Official Name | Hyland Nancy |
| Telephone Number | 9209268723 |
NPI Number Detail
| NPI Number | 1366417917 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2016-06-20 |
Provider Mailing Address Detail
| Address | 904 W Main St |
|---|---|
| City | Waupun |
| State | Wisconsin (WI) |
| Post Code | 539631201 |
| Phone Number | 9203243010 |
| Fax Number | 9203244370 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33272300 | WI | -- | |
| 2113944 | PK |
Post Comment/ Review Below
What is the Agnesian Healthcare Enterprises Llc's unique identification number?
The Agnesian Healthcare Enterprises Llc has been assigned the NPI (National Provider Identifier) Number 1366417917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Agnesian Healthcare Enterprises Llc is physically located?
The Agnesian Healthcare Enterprises Llc is physically situated at the following address: 904 W Main St, Waupun, WI, 539631201.
What is the Agnesian Healthcare Enterprises Llc's specialty and taxonomy code?
The Agnesian Healthcare Enterprises Llc's specialty is Long Term Care Pharmacy, and the corresponding taxonomy code is 3336L0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366417917 to Agnesian Healthcare Enterprises Llc?
The Agnesian Healthcare Enterprises Llc received its 1366417917 assignment from the Centers for Medicare & Medicaid Services on 2006-02-17.
When was the information pertaining to Agnesian Healthcare Enterprises Llc most recently updated or revised?
The details related to Agnesian Healthcare Enterprises Llc, including its address, specialty, and other relevant information, were last updated or revised on 2016-06-20.