Organization
DISTRICT COUNCIL OF MADISON INC
Active
Other names
St. Vincent De Paul Charitable Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA TOLSON (MANAGING PHARMACIST)
(608) 268-0355
Entity
Organization
Contact information
Practice address
2033 FISH HATCHERY RD, MADISON, WI 53725-9686
(608) 268-0355
(608) 237-1136
Mailing address
PO BOX 259686, MADISON, WI 53725-9686
(608) 442-7200
(608) 442-7211
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9183-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138923
PK
—
Enumeration date
02/12/2013
Last updated
05/09/2014
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