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.
Organization
DEAN RETAIL SERVICES, INC.
Active
Organization
DEAN RETAIL SERVICES, INC.
Active
Parent organization
DEAN HEALTH SYSTEMS, INC.
Other names
SSM Health Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEAN HEALTH SYSTEMS, INC.
Authorized official
AMY JO GRINNELL (VP FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
3200 EAST RACINE STREET, SUITE 300, JANESVILLE, WI 53546-2343
(608) 371-8100
(608) 371-8105
Mailing address
P.O BOX 259443, ATTN: SSM HEALTH PHARMACY ADMIN, MADISON, WI 53725-9443
(608) 250-1450
(608) 824-2690
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33205500
—
WI
Enumeration date
08/30/2006
Last updated
12/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers