# ROCKMED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockmed Long Term Care Pharmacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750527792
- **Authorized official:** ERIC GRESENS (OWNER)
- **Authorized official phone:** (608) 884-6644

## Contact information

- **Practice address:** 711 N MAIN ST, EDGERTON, WI 53534-1530
- **Practice address phone:** (608) 884-6644
- **Practice address fax:** (855) 523-0916
- **Mailing address:** 711 N MAIN ST, EDGERTON, WI 53534-1530
- **Mailing address phone:** (608) 884-6644
- **Mailing address fax:** (855) 523-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 9178-042 | WI | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 09/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1750527792 | — | WI |
| 01 | — | 2118330 | PK | — |
| 01 | — | K300100832 | PTAN | WI |