Home » Wisconsin » 53954 » Md Group Ii Llc

Md Group Ii Llc

Md Group Ii Llc is a health care provider in Rio, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 135 N Main St, Pardeeville, WI 53954-8005, US
Practice Location Phone608-846-2325
Practice Location Fax608-429-4895
Legal Business NameMD GROUP II LLC
Other Organization NamePARDEEVILLE HOMETOWN PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1043480296
Entity TypeOrganization
Enumeration Date ? Mar 4, 2008
Last Update Date ? Mar 7, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Md Group Ii Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
PharmacyCommunity/Retail Pharmacy 8824042Wisconsin
PharmacyLong Term Care Pharmacy

legacy-id-icon Legacy Provider IDs of Md Group Ii Llc

Provider IdIssuer StateIssuer TypeIssuer
5130567OtherNCPDP PROVIDER IDENTIFICATION NUMBER
36226000WisconsinMedicaid

official-icon Authorized Official of Md Group Ii Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Md Group Ii Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Matthew Mabie (RPH)
Authorized Official Title/PositionCEO
Authorized Official Phone Number608-429-2325