Mayo Clinic Health System-southwest Wisconsin Region, Inc.
Pharmacy
700 West Avenue South, Lacrosse
Wisconsin, 54601
608-791-9724 608-791-9500
Mayo Clinic Health System-southwest Wisconsin Region, Inc. is a Pharmacy in Lacrosse, Wisconsin. It is located at 700 West Avenue South, Lacrosse and it's customer support contact number is 608-791-9724. The authorized person of Mayo Clinic Health System-southwest Wisconsin Region, Inc. is Mark Bortnem who is Chief Financial Officer of the pharmacy and his contact number is 715-838-5270. Active license number of Mayo Clinic Health System-southwest Wisconsin Region, Inc. is 7639 for Pharmacy in Wisconsin. Mayo Clinic Health System-southwest Wisconsin Region, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mayo Clinic Health System-southwest Wisconsin Region, Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Mayo Clinic Health System-southwest Wisconsin Region, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mayo Clinic Health System-southwest Wisconsin Region, Inc. |
| Type: | Pharmacy |
| Location: | 700 West Avenue South, Lacrosse,
Wisconsin, 54601 |
| Phone: | 608-791-9724 |
| Fax: | 608-791-9500 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mark Bortnem |
| Position: | Chief Financial Officer |
| Contact Number: | 715-838-5270 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1194703512 |
| NPI Enumeration Date: | 05 Jan, 2006 |
| NPI Last Update On: | 09 Jan, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mayo Clinic Health System-southwest Wisconsin Region, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 7639 | Wisconsin | Primary | |
Medicare Enrollment:
Mayo Clinic Health System-southwest Wisconsin Region, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345152443 | O20100930002237 | Mayo Clinic Health System - Franciscan Medical Center Inc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 860056, Attn: Revenue Recognition & Compliance
Minneapolis, Minnesota |
| Zip: | 55486-0056 |
| Phone Number: | 608-791-4156 |
| Fax Number: | 608-392-9518 |
Patients can reach Mayo Clinic Health System-southwest Wisconsin Region, Inc. at
700 West Avenue South, Lacrosse, Wisconsin or can
call on customer care at 608-791-9724.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.