MEDICARE: NEUHAUSER PHARMACIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	6365-42	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2112798	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902965908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUHAUSER PHARMACIES INC

Provider Business Mailing Address
First Line	:	1875 MONROE ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2024
Country	:	US
Telephone Number	:	608-256-8712
Fax Number	:	608-256-3027

Provider Business Practice Location Address
First Line	:	1875 MONROE ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2024
Country	:	US
Telephone Number	:	608-256-8712
Fax Number	:	608-256-3027

Authorized Official
Title or Position	:	OWNER
Name	:	PEG BREUER
Credential	:	RPH
Telephone Number	:	608-256-8712

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	06/22/2016

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Directions to “NEUHAUSER PHARMACIES INC ” Practice Location

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