Organization
MERITER HOSPITAL PHARMACY
Active
Other names
MERITER HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HERBERT RPH MS (DIR OF PHCY)
(608) 417-6167
Entity
Organization
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6169
(608) 417-6022
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
2696042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5112329
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/27/2006
Last updated
10/07/2008
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