Michael D Bouzek, RPH
Individual provider Active NPI Pharmacist · Prairie Du Chien, WI
NPI 1124395124 · NPPES record last updated Nov 19, 2011
Key facts
- NPI
- 1124395124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9071-40 (WI)
- Practice address
- 109 N Marquette Rd
Prairie Du Chien, WI 53821-1512 - Phone
- (608) 326-0581
- Fax
- (608) 326-0586
- NPI assigned
- Nov 19, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9071-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9071-40 | WI | Yes |
Addresses
Primary practice location
109 N Marquette Rd
Prairie Du Chien, WI 53821-1512
Mailing address
38279 US Highway 18
Prairie Du Chien, WI 53821-8419
Phone (608) 326-4531
Other providers in Prairie Du Chien, WI
- Lisa L Bierman
- Marilu Bintz
- Stacy L. Blackburn
- Blue Heron Therapy, S.C.
- Walter R Boisvert
- Claire Bowar
- Nanci A Cherry
- Gregory Clark
- Kara Ann Clark
- Clinicare Corporation
All providers in Prairie Du Chien, WI · Pharmacist 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 19, 2011. 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.