Clinic Pharmacy of West Salem Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9040-42 Issued in WI

Legal business name

CLINIC PHARMACY OF WEST SALEM INC

Practice address

126 Leonard St S
West Salem, WI 54669-1621

Phone

(608) 786-2828

Fax

(608) 786-2845

NPI assigned

Oct 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George F Christiansen, RPH

Title

President

Phone

(608) 786-2828

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinic Pharmacy Gifts & More Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1093804122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 LEONARD ST S",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691621",
            "telephone_number": "608-786-2828",
            "fax_number": "608-786-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 LEONARD ST S",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691621",
            "telephone_number": "608-786-2828",
            "fax_number": "608-786-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC PHARMACY OF WEST SALEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-786-2828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9040-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33189400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Pharmacy Gifts & More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Lorraine Butler
• Carly Baker
• Charles W Flume DDS SC
• Alyssa Kay Chmielewski, DPT
• Melissa Joy Choi, RN
• Claire S Collingwood, MT-BC
• Community Health Pharmacy LLC
• Coulee Diagnostic Radiology Inc
• Coulee Health LLC
• County of la Crosse

• Community/Retail Pharmacy in West Salem, WI
• Providers in West Salem, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.