Organization
O CONNELL PHARMACY LTD
Active
Other names
O'Connell Pharmacy Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE O'CONNELL (OWNER)
(608) 837-5949
Entity
Organization
Contact information
Practice address
125 S THOMPSON RD, SUN PRAIRIE, WI 53590-2526
(608) 837-8002
(608) 478-3900
Mailing address
302 S GRAND AVE, SUN PRAIRIE, WI 53590-9827
(608) 837-8002
(608) 478-3900
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
9103-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133222
PK
—
Enumeration date
12/22/2011
Last updated
11/22/2023
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