CORNELL 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.

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Contact Information

CORNELL PHARMACY, INC.

300 MAIN ST
CORNELL, WI 54732-8384

Phone: 715-239-6453
Fax: 715-239-6078
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CORNELL PHARMACY, INC.

NPI Number 1265597272

LBN Legal business name CORNELL PHARMACY, INC.

Authorized official JOSHUA PROHASKA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/27/2006

Last updated 10/04/2024 - More than a year ago

Identifiers

WI	License #	8857-42
WI	Medicaid	36228500
	Other	8857-42	WI STATE ID #

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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