NPI | 1700018157 |
---|---|
Doing Business As | MARSHFIELD CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID J. SIMENSTAD Medical Director Reimbursement 715-387-5511 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WI 8125) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 8125) |
Enumeration Date | 2009-08-19 |
Last Update Date | 2010-03-08 |