Organization
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Active
Other names
Eastpark Medical Center Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE FLANNERY (CFO)
(608) 265-7131
Entity
Organization
Contact information
Practice address
4621 EASTPARK BLVD RM C1142, MADISON, WI 53718-2000
(608) 916-1400
Mailing address
7974 UW HEALTH COURT, PHARMACY DEPARTMENT, MIDDLETON, WI 53562-5531
(608) 262-1720
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10081-42
LICENSE
WI
Enumeration date
08/23/2024
Last updated
08/23/2024
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