Whalio Doctors

NPI 1174145031

Agnesian Healthcare Enterprises LLC

Organisation Long Term Care Pharmacy Waupun, WI

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
Suppliers Taxonomy 3336L0003X

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.