HARTIG DRUG CO CORP (NPI# 1316044985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316044985 |
| Entity Type | Organization |
| Organization Name | HARTIG DRUG CO CORP |
| Practice Address |
1120 Lincoln Ave Fennimore WI 53809-1746 |
| Mailing Address |
703 Main St Dubuque IA 52001-6821 |
| Practice Telephone | 6088223601 |
| Practice Fax Number | 6088223663 |
| Mailing Telephone | 5635888700 |
| Mailing Fax Number | 5635888750 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | ALAN J. HENRICKS (V.P./C.O.O.) |
| Authorized Official Telephone | 5635888700 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8388-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33273900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740592591 | Hartig Drug Co Corp | Pharmacy | 22 1st Ave Nw, Waukon, IA 52172-1630 | 2010-07-09 |
| 1295897924 | Hartig Drug Co Corp | Pharmacy | 218 Chicago Ave, Savanna, IL 61074-1918 | 2006-12-16 |
| 1144327404 | Hartig Drug Co Corp | Pharmacy | 7425 Chavenelle Rd, Suite 300, Dubuque, IA 52002-9674 | 2006-09-20 |
| 1699872267 | Hartig Drug Co Corp | Pharmacy | 200 1st St E, Independence, IA 50644-2813 | 2006-09-17 |
| 1356448914 | Hartig Drug Co Corp | Pharmacy | 157 Locust St, Dubuque, IA 52001-7660 | 2006-09-17 |
| 1053418624 | Hartig Drug Co Corp | Pharmacy | 180 W Pine St, Platteville, WI 53818-3112 | 2006-09-17 |
| 1619074283 | Hartig Drug Co Corp | Pharmacy | 711 16th Ave Se, Dyersville, IA 52040-2158 | 2006-09-17 |
| 1346347903 | Hartig Drug Co Corp | Pharmacy | 11002 Bartel Blvd, Galena, IL 61036-8215 | 2006-09-17 |
| 1548367105 | Hartig Drug Co Corp | Pharmacy | 101 S Marquette Rd, Prairie Du Chien, WI 53821-1639 | 2006-09-17 |
| 1336246909 | Hartig Drug Co Corp | Pharmacy | 701 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2006-09-17 |
| Street Address |
1120 LINCOLN AVE |
| City | FENNIMORE |
| State | WI |
| Zip Code | 53809-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955563 | Jacqueline Hanson | Pharmacist | 1120 Lincoln Ave, Fennimore, WI 53809 | 2017-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367545 | Fennimore Dental, LLC | Dentist | 220 Lincoln Avenue, Fennimore, WI 53809 | 2018-12-06 |
| 1003094301 | Heather R Wolf | Licensed Practical Nurse | 1470 12th Street, Fennimore, WI 53809 | 2008-02-08 |
| 1124103080 | Diane L Cavadini | Registered Nurse | 2409 Hwy Q, Fennimore, WI 53809 | 2006-10-26 |
| 1225085483 | Fennimore Rural Fire Department Rescue Squad | Emergency Medical Technician, Basic | 1070 8th Street, Fennimore, WI 53809 | 2006-05-30 |
| 1093254070 | Mckenzie Croft | Licensed Practical Nurse | 13554 Switzer Rd, Fennimore, WI 53809 | 2017-02-23 |
| 1609096833 | Richard Merwin Lofthouse Sr. | Dentist | 220 Lincoln Ave, Fennimore, WI 53809 | 2007-04-30 |
| 1336483726 | Lori Lynn Kartman | Licensed Practical Nurse | 1509 2nd St, Fennimore, WI 53809-1004 | 2012-11-26 |
| 1588635239 | Eulogio G Aguilar | Emergency Medicine | 220 Lincoln Ave, Fennimore, WI 53809-1030 | 2006-01-31 |
| 1215124029 | Memorial Hospital of Boscobel | Durable Medical Equipment & Medical Supplies | 220 Lincoln Ave, Fennimore, WI 53809-1030 | 2007-09-26 |
| 1073806014 | Zhenyu Liang | Dentist | 220 Lincoln Ave, Fennimore, WI 53809-1036 | 2011-05-24 |
| Find all providers in zip 53809 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
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| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.