Memorial Hospital Pharmacy

Organization Active NPI Critical Access Hospital · Boscobel, WI

NPI 1194990796 · NPPES record last updated Apr 24, 2008

Key facts

NPI
1194990796
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
6785-042 (WI)
Legal business name
MEMORIAL HOSPITAL PHARMACY
Practice address
205 Parker St
Boscobel, WI 53805-1642
Phone
(608) 375-6307
Fax
(608) 375-6198
NPI assigned
Apr 24, 2008
Organization subpart
No

Authorized official

Name
Mr. Douglas James Knoble, R.PH.
Title
Director of Pharmacy
Phone
(608) 375-6307

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Fennimore MNTL HLTH CL (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 6785-042 WI Yes

Addresses

Primary practice location

205 Parker St
Boscobel, WI 53805-1642

Mailing address

205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-6307

Other names

  • Boscobel Area Health Care Pharmacy Doing business as

Other providers in Boscobel, WI

All providers in Boscobel, WI · Critical Access Hospital in Wisconsin

Sources for this page

Verify at the official NPI Registry.