# FARRELL PHARMACY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073116950
- **Authorized official:** DR. MICHELLE ELLEN FARRELL PHARMD (PRESIDENT)
- **Authorized official phone:** (608) 391-0420

## Contact information

- **Practice address:** 190 N ORANGE ST STE 2, RICHLAND CENTER, WI 53581-2163
- **Practice address phone:** (608) 647-8918
- **Practice address fax:** (608) 647-3696
- **Mailing address:** 190 N ORANGE ST STE 2, RICHLAND CENTER, WI 53581-2163
- **Mailing address phone:** (608) 647-8918
- **Mailing address fax:** (608) 647-3696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/21/2020
- **Last updated:** 07/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100148468 | — | WI |