Organization
WATERTOWN MEMORIAL HOSPITAL ASSOCIATION INC
Active
Other names
WATERTOWN MEM HOSPITAL PHY OP
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SCHLOEMER (PHARMACY MANAGER)
(920) 262-4393
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4393
(920) 262-4607
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4393
(920) 262-4607
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5450
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11015400
—
WI
01
—
5123928
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2006
Last updated
05/12/2010
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