National Provider Identifier Database

BOSCOBEL PHARMACY INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

BOSCOBEL PHARMACY, INC
1028 WISCONSIN AVE
BOSCOBEL, WI53805-1532
Phone: 608-375-4466
Fax: 608-375-2383
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Oxygen Equipment & Supplies 332BX2000X
Parenteral & Enteral Nutrition 332BP3500X

* Indicates primary specialty

NPI Profile & details for BOSCOBEL PHARMACY, INC

NPI Number 1245249614
Legal business name
LBN
BOSCOBEL PHARMACY, INC
Authorized official MICHELLE FARRELL - (PHARMACIST, OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/05/2006
Last updated 02/17/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 6474-042
  • WI Medicaid: 33051200
  • WI Other: 5105312 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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