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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
1211 FISH HATCHERY RD STE 300, MADISON, WI 53715-1909
(608) 252-8044
(608) 283-7325
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
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
722642
WI
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2114678
PK
05
33064600
WI
Enumeration date
08/30/2006
Last updated
10/20/2025
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