Source One Healthcare a Division of Phillips Pharmacies
NPI #1205997517 in Mauston, Wisconsin
Provider Information
- NPI Number
- 1205997517
- Entity Type
- Organization
- Organization Name
- Source One Healthcare a Division of Phillips Pharmacies
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHILLIPS DRUG STORE INC.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Nov 13, 2007
Practice Location
Authorized Official
- Name
- WAYNE MACARDY
- Title
- PRESIDENT
- Phone
- (800) 779-1276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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