Organization
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Active
Parent organization
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Other names
Univeristy Station Remote Dispensing Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Authorized official
ALAN KAPLAN MD (CEO)
(608) 263-7013
Entity
Organization
Contact information
Practice address
2880 UNIVERSITY AVE, ROOM 177, MADISON, WI 53705-3644
(608) 263-9393
(608) 263-7945
Mailing address
600 HIGHLAND AVE, PHARMACY F6/133, MADISON, WI 53792-1530
(608) 263-1290
(608) 263-9424
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
6986
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0641600005
PTAN (PHARMACY MEDICARE PROVIDER NUMBER)
—
05
—
33211800
—
WI
01
—
5121455
NCPDP NO
WI
01
—
6986
PHARMACY LICENSE NO
WI
Enumeration date
09/28/2006
Last updated
03/07/2023
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