Organization
FARRELL PHARMACY GROUP, INC.
Active
Other names
Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ELLEN FARRELL PHARMD (PRESIDENT)
(608) 391-0420
Entity
Organization
Contact information
Practice address
190 N ORANGE ST STE 2, RICHLAND CENTER, WI 53581-2163
(608) 647-8918
(608) 647-3696
Mailing address
190 N ORANGE ST STE 2, RICHLAND CENTER, WI 53581-2163
(608) 647-8918
(608) 647-3696
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148468
—
WI
Enumeration date
11/21/2020
Last updated
07/08/2021
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