# DEAN RETAIL SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEAN HEALTH SYSTEMS, INC.
- **Other names:** SSM Health Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992815682
- **Legal business name:** DEAN HEALTH SYSTEMS, INC.
- **Authorized official:** AMY JO GRINNELL (VP FINANCE)
- **Authorized official phone:** (608) 260-3586

## Contact information

- **Practice address:** 3200 EAST RACINE STREET, SUITE 300, JANESVILLE, WI 53546-2343
- **Practice address phone:** (608) 371-8100
- **Practice address fax:** (608) 371-8105
- **Mailing address:** P.O BOX 259443, ATTN: SSM HEALTH PHARMACY ADMIN, MADISON, WI 53725-9443
- **Mailing address phone:** (608) 250-1450
- **Mailing address fax:** (608) 824-2690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 12/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33205500 | — | WI |