NPI 1013169598

Forum Extended Care Services of Wisconsin INC

Organisation Long Term Care Pharmacy Madison, WI

Practice location

Address: 2445 Darwin Rd Suite 102, Madison, WI 53704-3116
Phone: (608) 240-2280
Fax: (608) 240-2288
Mailing address: 4201 W Victoria St, Chicago, IL 60646-6700

Authorised official

Name: Brian Kramer
Title: President
Phone: (847) 673-8727

Registered specialties (2)

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X Licence 9417-42 (WI)

Other Pharmacy providers in Wisconsin →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1013169598
Entity type: Organization
NPI issued: 16 Oct 2008
Record last updated: 22 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.