Thedacare Medical Center - Wild Rose, Inc
Non-pharmacy Dispensing Site
701 Grove Ave, Wild Rose
Wisconsin, 54984-6901
920-622-6013 920-774-1026
Thedacare Medical Center - Wild Rose, Inc is a Non-pharmacy Dispensing Site in Wild Rose, Wisconsin. It is located at 701 Grove Ave, Wild Rose and it's customer support contact number is 920-622-6013. The authorized person of Thedacare Medical Center - Wild Rose, Inc is Jenifer Danzeisen, RN who is Clinic Manager/ Director Of Nu of the pharmacy and his contact number is 920-622-5564. Active license number of Thedacare Medical Center - Wild Rose, Inc is 47322-20 for Non-pharmacy Dispensing Site in Wisconsin.
Thedacare Medical Center - Wild Rose, Inc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Thedacare Medical Center - Wild Rose, 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: | Thedacare Medical Center - Wild Rose, Inc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 701 Grove Ave, Wild Rose,
Wisconsin, 54984-6901 |
| Phone: | 920-622-6013 |
| Fax: | 920-774-1026 |
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: | Jenifer Danzeisen |
| Credentials: | RN |
| Position: | Clinic Manager/ Director Of Nu |
| Contact Number: | 920-622-5564 |
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: | 1710018817 |
| NPI Enumeration Date: | 08 Mar, 2007 |
| NPI Last Update On: | 31 Jul, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thedacare Medical Center - Wild Rose, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 47322-20 | 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 |
| 2115407 | Other | | Pk |
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 314,
Wild Rose, Wisconsin |
| Zip: | 54984-0314 |
| Phone Number: | -- |
Patients can reach Thedacare Medical Center - Wild Rose, Inc at
701 Grove Ave, Wild Rose, Wisconsin or can
call on customer care at 920-622-6013.
Comments/ Reviews:
Read all the reviews posted for Thedacare Medical Center - Wild Rose, Inc below. You may also share your own experience with Thedacare Medical Center - Wild Rose, Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.