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Contact Information

BOSCOBEL PHARMACY, INC
1028 WISCONSIN AVE
BOSCOBEL, WI53805-1532
 Phone: 608-375-4466
 Fax: 608-375-2383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BOSCOBEL PHARMACY, INC

NPI Number 1245249614
LBN Legal business name BOSCOBEL PHARMACY, INC
Authorized official MICHELLE FARRELL - (PHARMACIST, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 02/17/2020 - About 6 years ago
Identifiers
WI License # 6474-042
WI Medicaid 33051200
WI Other 5105312 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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