# DEAN RETAIL SERVICES INC

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

## Provider details

- **NPI number:** 1164524567
- **Authorized official:** AMY JO GRINNELL (VP FINANCE)
- **Authorized official phone:** (608) 260-3586

## Contact information

- **Practice address:** 700 S PARK ST, SUITE 300, MADISON, WI 53715-1830
- **Practice address phone:** (608) 256-6465
- **Practice address fax:** (608) 256-6460
- **Mailing address:** P. O. BOX 259443, ATTN: SSM HEALTH PHARMACY ADMIN, MADISON, WI 53725-9443
- **Mailing address phone:** (608) 250-1450
- **Mailing address fax:** (608) 824-2690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8338-42 | WI | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 09/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2108737 | PK | — |
| 05 | — | 33271500 | — | WI |