Menominee Tribal Clinic Pharmacy is not a DME supplier for medicare equipments and products.
Menominee Tribal Clinic Pharmacy is a Clinic Pharmacy in Keshena, Wisconsin. This pharmacy is owned and operated by Menominee Indian Tribe Of Wisconsin. It is located at W3275 Wolf River Road, Keshena and it's customer support contact number is 715-799-3361. The authorized person of Menominee Tribal Clinic Pharmacy is Jerry L Waukau Sr. who is Health Administrator of the pharmacy and his contact number is 715-799-3361. Active license number of Menominee Tribal Clinic Pharmacy is 7848-042 for Clinic Pharmacy in Wisconsin. Menominee Tribal Clinic Pharmacy is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Menominee Tribal Clinic Pharmacy 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:
Menominee Tribal Clinic Pharmacy
Type:
Clinic Pharmacy
Location:
W3275 Wolf River Road, Keshena, Wisconsin, 54135
Phone:
715-799-3361
Fax:
715-799-3099
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:
Jerry L Waukau Sr.
Position:
Health Administrator
Contact Number:
715-799-3361
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:
1972545010
NPI Enumeration Date:
12 Jun, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Menominee Tribal Clinic Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Clinic Pharmacy
7848-042
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
32955700
Medicaid
Wisconsin
5118446
Other
Napb #
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 970, Keshena, Wisconsin
Zip:
54135-0970
Phone Number:
715-799-3361
Fax Number:
715-799-3099
Patients can reach Menominee Tribal Clinic Pharmacy at W3275 Wolf River Road, Keshena, Wisconsin or can call on customer care at 715-799-3361.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.