<Unavail>

LBN: Dean Retail Services, Inc.
<Unavail> is an health care organization with primary practice located at 3200 East Racine Street Suite 300, Janesville WI 53546-2343. 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) 371-8100, or through Grinnell, Amy Jo via phone (608) 260-3586.

Contact Information

Primary practice address
3200 East Racine Street Suite 300 Janesville WI 53546-2343
Phone: (608) 371-8100
Fax: (608) 371-8105
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 1992815682
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 18th, 2023 - about 3 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 1992815682 NPPES
Wisconsin MEDICAID 33205500

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