GALESVILLE LTC PHARMAY LLC (NPI# 1407291917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407291917 |
| Entity Type | Organization |
| Organization Name | GALESVILLE LTC PHARMAY LLC |
| Practice Address |
16814 S Main St Galesville WI 54630-7704 |
| Mailing Address |
Po Box 493 16814 S Main St Galesville WI 54630-0493 |
| Practice Telephone | 6085822446 |
| Practice Fax Number | 6085824321 |
| Mailing Telephone | 6085822446 |
| Mailing Fax Number | 6085824321 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2015-08-05 |
| Authorized Official Name | MR. JESSE LEE SWING (PRESIDENT) |
| Authorized Official Telephone | 6085822446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Street Address |
16814 S MAIN ST |
| City | GALESVILLE |
| State | WI |
| Zip Code | 54630-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174505770 | Lillian J Nordin | Nurse Practitioner | 16812 S Main Street, Galesville, WI 54630 | 2005-11-18 |
| 1083964969 | Gundersen Clinic, Ltd | Clinic/Center | 16812 S Main St, Galesville, WI 54630 | 2012-09-18 |
| 1134235682 | Jennifer E Sorenson | Physician Assistant | 16812 S Main St, Galesville, WI 54630 | 2006-08-21 |
| 1669597928 | Galen Roy Koxlien | Dentist | 19815 East Gale Ave, Galesville, WI 54630-0715 | 2007-03-19 |
| 1750374609 | Bethany St. Joseph Corporation | Skilled Nursing Facility | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2005-08-25 |
| 1851958508 | Kelly Wolf | Physical Therapy Assistant | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2019-05-28 |
| 1063698298 | Molly Mae Flynn | Chiropractor | 16853 S 1st St, Galesville, WI 54630-7191 | 2008-01-17 |
| 1881790202 | Joseph J Antonie | Chiropractor | 16812 S 2nd St, Ste 120, Galesville, WI 54630-7295 | 2006-09-15 |
| 1184971095 | Garet R Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2012-08-09 |
| 1750739082 | Alisha Kay Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2016-05-26 |
| Find all providers in zip 54630 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646579 | Medical Health Pharmacy LLC | Pharmacy | 8845 S Greenview Dr Ste 1, Middleton, WI 53562-2562 | 2019-12-13 |
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1568015022 | T A Solberg Co Inc | Pharmacy | 232 S Courtney St Stop 3, Rhinelander, WI 54501-3308 | 2019-07-23 |
| 1932679081 | Janesville Hometown Pharmacy LLC | Pharmacy | 21 S Jackson St Ste 100, Janesville, WI 53548-3859 | 2018-12-03 |
| 1902371107 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Rd, Green Bay, WI 54313-7124 | 2018-10-04 |
| 1962999805 | Guardian Pharmacy of Madison, LLC | Pharmacy | N85 W15882 Appleton Ave, Menomonee Falls, WI 53051-3082 | 2018-04-17 |
| 1164932091 | Mabie Pharmacy, LLC | Pharmacy | 10 Liberty St # 106, Deerfield, WI 53531-9458 | 2017-10-05 |
| 1487101754 | Evergreen Pharmacy LLC | Pharmacy | 10101 W Greenfield Ave, West Allis, WI 53214-3953 | 2016-09-05 |
| 1639548142 | Lynja Inc | Pharmacy | 3215 8th St S Ste 101, Wisconsin Rapids, WI 54494-6564 | 2015-09-15 |
| Find all providers with the same taxonomy | ||||
| City | GALESVILLE |
| Zip Code | 54630 |
Please comment or provide details below to improve the information on GALESVILLE LTC PHARMAY LLC.
| 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.