# SPRING GREEN PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Spring Green Health Mart Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568993210
- **Authorized official:** ALISHA HAHN (CO OWNER AND VP)
- **Authorized official phone:** (608) 588-2541

## Contact information

- **Practice address:** 208 E JEFFERSON ST, SPRING GREEN, WI 53588-8002
- **Practice address phone:** (608) 588-2541
- **Practice address fax:** (608) 588-2884
- **Mailing address:** PO BOX 69, SPRING GREEN, WI 53588-0069
- **Mailing address phone:** (608) 588-2541
- **Mailing address fax:** (608) 588-2884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 6137-42 | WI | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2168271 | PK | — |
| 05 | — | 33122100 | — | WI |