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Organization
FARRELL PHARMACY GROUP, INC.
Active
Organization
FARRELL PHARMACY GROUP, INC.
Active
Other names
Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ELLEN FARRELL PHARMD (PRESIDENT)
(608) 391-0420
Entity
Organization
Contact information
Practice address
190 N ORANGE ST STE 2, RICHLAND CENTER, WI 53581-2163
(608) 647-8918
(608) 647-3696
Mailing address
190 N ORANGE ST STE 2, RICHLAND CENTER, WI 53581-2163
(608) 647-8918
(608) 647-3696
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148468
—
WI
Enumeration date
11/21/2020
Last updated
07/08/2021
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