Organization
O CONNELL PHARMACY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE O'CONNELL (OWNER)
(608) 837-5949
Entity
Organization
Contact information
Practice address
302 S GRAND AVE, SUN PRAIRIE, WI 53590
(608) 837-5949
(608) 825-3253
Mailing address
302 S GRAND AVE, SUN PRAIRIE, WI 53590
(608) 837-5949
(608) 825-3253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6781-042
WI
333600000X
Pharmacy
8817042
WI
333600000X
Pharmacy
DEA FO0684034
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33065000
—
WI
01
—
5118220
NCPDP
—
Enumeration date
05/02/2006
Last updated
09/29/2023
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