<Unavail>

LBN: Dean Retail Services, Inc.
<Unavail> is an health care organization with primary practice located at 10 Tower Dr Suite 300, Sun Prairie WI 53590-1239. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dean Retail Services, Inc. can be contacted via phone (608) 825-3690, or through Grinnell, Amy Jo via phone (608) 260-3586.

Contact Information

Primary practice address
10 Tower Dr Suite 300 Sun Prairie WI 53590-1239
Phone: (608) 825-3690
Fax: (608) 825-3665
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy Jo
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467562157
LBN Legal business name Dean Retail Services, Inc.
DBA Doing business as <Unavail>
Authorized official Grinnell, Amy Jo
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 30th, 2006
Last updated Dec 6th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467562157 NPPES
Wisconsin MEDICAID 33271500

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