Whalio Doctors

NPI 1922044411

Northern Lakes Cooperative

Organisation Community/Retail Pharmacy Hayward, WI

Practice location

Address
15846 W US Highway 63 S, Hayward, WI 54843-7106
Phone
(715) 634-8238
Fax
(715) 634-8170
Mailing address
15846 W US Highway 63 S, Hayward, WI 54843-0985

Authorised official

Name
Michael Covelli
Title
General Manager
Phone
(715) 634-3211

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 7348-42 (WI)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1922044411
Entity type
Organization
NPI issued
21 Jun 2006
Record last updated
2 Nov 2021

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.