Organization
THEDACARE, INCORPORATED
Active
Other names
ThedaCare At Home Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 969-0919
(920) 730-3433
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4229
(920) 993-5001
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
7196-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33228200
—
WI
Enumeration date
10/05/2006
Last updated
01/02/2024
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