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.
Practice Location | 135 N Main St, Pardeeville, WI 53954-8005, US | ||
---|---|---|---|
Practice Location Phone | 608-846-2325 | ||
Practice Location Fax | 608-429-4895 | ||
Legal Business Name | MD GROUP II LLC | ||
Other Organization Name | PARDEEVILLE HOMETOWN PHARMACY | ||
Other Organization Name Type | Doing Business As Name | ||
NPI ? | 1043480296 | ||
Entity Type | Organization | ||
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 | Provider Type | Specialization | License | License State |
---|---|---|---|---|
Durable Medical Equipment & Medical Supplies | Suppliers | |||
Pharmacy | Suppliers | Community/Retail Pharmacy | 8824042 | Wisconsin |
Pharmacy | Suppliers | Long Term Care Pharmacy | ||
Provider Id | Issuer State | Issuer Type | Issuer |
---|---|---|---|
5130567 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
36226000 | Wisconsin | Medicaid | |
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/Position | CEO |
Authorized Official Phone Number | 608-429-2325 |