Organization
SKJ INC.
Active
Other names
DOOR CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HOEY (OWNER)
(608) 839-3784
Entity
Organization
Contact information
Practice address
50 N MAIN ST, DEERFIELD, WI 53531-9353
(608) 764-8111
(608) 764-5556
Mailing address
431 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9385
(608) 839-3784
(608) 839-3786
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
838342
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33274500
—
WI
01
—
5127813
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/30/2007
Last updated
09/22/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up