Organization
HHU XTRA CARE INC
Active
Organization
HHU XTRA CARE INC
Active
Other names
SSM Health at Home Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY RUFENACHT (INTERIM SYSTEM DIRECTOR OF PHARMACY)
(608) 223-7951
Entity
Organization
Contact information
Practice address
4639 HAMMERSLEY RD, MADISON, WI 53711-2706
(608) 223-7950
(800) 355-9429
Mailing address
4639 HAMMERSLEY RD, MADISON, WI 53711-2706
(608) 223-7950
(800) 355-9429
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
9355-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326337106
—
WI
01
—
2129438
PK
—
Enumeration date
04/01/2011
Last updated
05/25/2023
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