Organization
HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
Active
Other names
North Central Heatlh Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D. OLSEN (EXECUTIVE DIRECTOR)
(715) 848-4600
Entity
Organization
Contact information
Practice address
2400 MARSHALL ST STE A, WAUSAU, WI 54403-6738
(715) 848-4600
(715) 845-5398
Mailing address
2400 MARSHALL ST STE A, WAUSAU, WI 54403-6738
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33189500
—
WI
Enumeration date
08/28/2006
Last updated
10/20/2023
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