# SOUTHWEST HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pharmacy at Southwest Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811376031
- **Authorized official:** JESSE SOOKOCHOFF (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (608) 348-2331

## Contact information

- **Practice address:** 1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
- **Practice address phone:** (608) 342-6200
- **Practice address fax:** (608) 342-6299
- **Mailing address:** 1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
- **Mailing address phone:** (608) 342-6200
- **Mailing address fax:** (608) 342-6299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9329-42 | WI | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 12/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100048849 | — | WI |
| 01 | — | 2152790 | PK | — |