Agnesian Healthcare INC
NPI #1235519455 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1235519455
- Entity Type
- Organization
- Organization Name
- Agnesian Healthcare INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 3, 2015
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 421 CAMELOT DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-8335
- Phone
- (920) 926-5455
Authorized Official
- Name
- AMY JO GRINNELL
- Title
- FINANCE VICE PRESIDENT WI REGION
- Phone
- (608) 260-3586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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