Organization
MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC
Active
Other names
Mayo Clinic Store Westgate
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE S HANSEN (CFO)
(715) 838-5270
Entity
Organization
Contact information
Practice address
1707 WESTGATE RD, EAU CLAIRE, WI 54703-4964
(715) 838-5861
Mailing address
21 2ND ST SW STE 118, ROCHESTER, MN 55902-3197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8530
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33184700
—
WI
01
—
51 21013
NCPDP
—
Enumeration date
07/31/2006
Last updated
03/07/2023
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