Organization
SOUTHWEST HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SOOKOCHOFF (CHIEF FINANCIAL OFFICER)
(608) 348-2331
Entity
Organization
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
(608) 342-4713
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
(608) 342-4713
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8464-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33042300
—
WI
Enumeration date
10/22/2008
Last updated
12/17/2021
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