NPI 1922044411
Northern Lakes Cooperative
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
Pharmacy
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.