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.
Basic Information| 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). | |||
Specialties & Licenses of Md Group Ii Llc| 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 | ||
Legacy Provider IDs of Md Group Ii Llc| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 5130567 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 36226000 | Wisconsin | Medicaid | |
Authorized Official of Md Group Ii LlcAn 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 |
