NPI 1174145031
Agnesian Healthcare Enterprises LLC
Practice location
- Address
- 904 W Main St, Waupun, WI 53963-1201
- Phone
- (920) 324-8703
- Fax
- (920) 324-3476
- Mailing address
- 145 N Main St, Fond Du Lac, WI 54935-3423
Authorised official
- Name
- Kimberly Spencer
- Title
- System Vp Pharmacy Services
- Phone
- (920) 926-6011
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1174145031
- Entity type
- Organization
- NPI issued
- 14 May 2020
- Record last updated
- 7 Jun 2023
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.