National Provider Identifier Database

BEAVER DAM COMMUNITY HOSPITALS INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

BEAVER DAM COMMUNITY HOSPITALS INC
707 S UNIVERSITY AVE
BEAVER DAM, WI53916-3089
Phone: 920-887-4053
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for BEAVER DAM COMMUNITY HOSPITALS INC

NPI Number 1295771780
Legal business name
LBN
BEAVER DAM COMMUNITY HOSPITALS INC
Authorized official JOLYN MUNSON - (VP REVENUE CYCLE OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 06/21/2006
Last updated 07/18/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 5344-42

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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