Organization
PHILLIPS TOTAL CARE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE E MACARDY (OWNER/PHARMACIST)
(608) 847-6337
Entity
Organization
Contact information
Practice address
121 E STATE ST, MAUSTON, WI 53948-1344
(608) 847-6337
(608) 847-5004
Mailing address
121 E STATE ST, MAUSTON, WI 53948-1344
(608) 847-6337
(608) 847-5004
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
9001-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009037
—
WI
01
—
5132181
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/08/2010
Last updated
08/18/2025
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