# PHILLIPS TOTAL CARE PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639495237
- **Authorized official:** WAYNE E MACARDY (OWNER/PHARMACIST)
- **Authorized official phone:** (608) 847-6337

## Contact information

- **Practice address:** 121 E STATE ST, MAUSTON, WI 53948-1344
- **Practice address phone:** (608) 847-6337
- **Practice address fax:** (608) 847-5004
- **Mailing address:** 121 E STATE ST, MAUSTON, WI 53948-1344
- **Mailing address phone:** (608) 847-6337
- **Mailing address fax:** (608) 847-5004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 9001-42 | WI | Yes |

## Other

- **Enumeration date:** 04/08/2010
- **Last updated:** 08/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100009037 | — | WI |
| 01 | — | 5132181 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
