Travelmart Inc.
Organization Active NPI Community/Retail Pharmacy · Wisconsin Dells, WI
NPI 1073619201 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1073619201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 7305-042 (WI)
- Legal business name
- TRAVELMART INC.
- Practice address
- 802 Broadway
Wisconsin Dells, WI 53965 - Phone
- (608) 253-4231
- Fax
- (608) 253-7317
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Jane G Christensen, R.PH.
- Title
- Managing Pharmacist
- Phone
- (608) 253-4231
National Provider Directory
Locations
802 Broadway
Wisconsin Dells, WI 53965
Phone (608) 253-4231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 7305-042 | WI | Yes |
Addresses
Primary practice location
802 Broadway
Wisconsin Dells, WI 53965
Mailing address
802 Broadway
Wisconsin Dells, WI 53965
Phone (608) 253-4231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33191600 | Medicaid | WI |
Other names
- Travelmart Pharmacy
Other providers in Wisconsin Dells, WI
- Patrick F Sweeney
- Asfiya Batool Syeda
- Susan M Teschan-Hanson
- Erin Elizabeth Tiedeman
- Total Renal Care Inc
- Amy Marie Voigt
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Jacquelyn Marie Walker
All providers in Wisconsin Dells, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.