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Aspirus Wausau Hospital Outpatient Pharmacy

Organization Active NPI Pharmacy · Wausau, WI

NPI 1194889980 · NPPES record last updated Jun 11, 2024

Key facts

NPI
1194889980
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
7878-042 (WI)
Legal business name
ASPIRUS WAUSAU HOSPITAL OUTPATIENT PHARMACY
Practice address
333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone
(715) 847-2871
Fax
(715) 847-2551
NPI assigned
Dec 19, 2006
Organization subpart
No

Authorized official

Name
Jerry M Yang
Title
SVP & Chief Financial Officer
Phone
(715) 847-2526

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Wausau Hospital Center (22 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 7878-042 WI Yes

Addresses

Primary practice location

333 Pine Ridge Blvd
Wausau, WI 54401-4120

Mailing address

333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone (715) 847-2871

Other identifiers

IdentifierTypeStateIssuer
0361120002MedicaidWI

Other providers in Wausau, WI

All providers in Wausau, WI · Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.