The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1932328242 |
NPI Entity Type | Organization |
Provider Name |
Den Dia Iv
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 375 Main Ave, De Pere, WI, US |
Provider Mailing Address | 375 Main Ave, De Pere, WI, US, 541152202 |
Is Sole Proprietor? | No |
Official Name | RPH Dennis Larson |
Official Position | PRESIDENT AND PHARMACIST |
Phone | 920-336-6128 |
Taxonomy Code | |
Taxonomy Name | Community/Retail Pharmacy |
Classification | |
Group | |
License No. | 6162042 |
License State | WI |
Description | 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
5103332 | OTHER ID NUMBER | 01 | |
5103332 | OTHER ID NUMBER-COMMERCIAL NUMBER | 01 | |
33055200 | WI | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Timothy H Mcdonough Individual |
600 Highland Ave |
||
PA-C Jennifer Parnell Individual |
1300 South Drive |
||
Dean Health Systems, Inc Organization |
1821 S Stoughton Rd |
||
DDS Katherine Anne Knabe Individual |
5337 W Grande Market Dr |
||
PA(ASCP) Amanda Katsma Individual |
5000 W National Ave |
||
MRS. APNP, PMHNP-BC Tilly Burroughs Individual |
1114 56th St |
||
Shong Chang Individual |
10 Tower Dr |
||
Golden Medical Transportation Llc Organization |
1740 E Mason St # 5 |
||
LCSW, SAC-IT Alexandra Duvall Individual |
540 College St |
||
D-PT Rachel Ann Lohrengel Individual |
744 S Webster Ave |
||
LPC Rebecca A Richards Individual |
820 Washington St |
||
DR. D.O. Meredith Caroline Schaffner Individual |
1836 South Ave |
||
Rebecca Fafard Individual |
702 W Main St |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
611 Sherman Ave E |
||
MRS. LPC Holly L Doughty Individual |
120 E 4th St |
||
Fort Memorial Hospital Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
500 Mcmillen St |
||
Fort Healthcare, Inc Organization |
611 Sherman Ave E |
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