Thedacare Physicians Pediatrics

Non-pharmacy Dispensing Site


  
  2701 E Enterprise Ave, Appleton
Wisconsin, 54913-7729

 920-954-2551    920-954-2554
Thedacare Physicians Pediatrics is a Non-pharmacy Dispensing Site in Appleton, Wisconsin. This pharmacy is owned and operated by Thedacare, Incorporated. It is located at 2701 E Enterprise Ave, Appleton and it's customer support contact number is 920-954-2551. The authorized person of Thedacare Physicians Pediatrics is William Flett who is Cfo of the pharmacy and his contact number is 920-454-4013. Active license number of Thedacare Physicians Pediatrics is 40901020 for Non-pharmacy Dispensing Site in Wisconsin.
Thedacare Physicians Pediatrics 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 Physicians Pediatrics 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 Physicians Pediatrics
Type: Non-pharmacy Dispensing Site
Location:2701 E Enterprise Ave, Appleton,
Wisconsin, 54913-7729
Phone:920-954-2551
Fax:920-954-2554
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: William Flett
Position: Cfo
Contact Number: 920-454-4013
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: 1356424683
NPI Enumeration Date: 23 Oct, 2006
NPI Last Update On: 02 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 Thedacare Physicians Pediatrics are as mentioned below.
SpecializationLicense NumberStateStatus
Non-pharmacy Dispensing Site 40901020WisconsinPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
32566400MedicaidWisconsin
5127178OtherOther Id Number-commercial Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 2701 E Enterprise Ave,
Appleton, Wisconsin
Zip: 54913-7729
Phone Number: --
Fax Number: --
Patients can reach Thedacare Physicians Pediatrics at 2701 E Enterprise Ave, Appleton, Wisconsin or can call on customer care at 920-954-2551.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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