Healthcare Provider Details

I. General information

NPI: 1235172586
Provider Name (Legal Business Name): MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11040 N STATE ROAD 77
HAYWARD WI
54843-6391
US

IV. Provider business mailing address

11040 N STATE ROAD 77
HAYWARD WI
54843-6391
US

V. Phone/Fax

Practice location:
  • Phone: 715-934-4230
  • Fax: 715-934-4278
Mailing address:
  • Phone: 715-934-4230
  • Fax: 715-934-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number6740
License Number StateWI

VIII. Authorized Official

Name: ALLISON FARLEY
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 715-934-4230