Healthcare Provider Details

I. General information

NPI: 1942124730
Provider Name (Legal Business Name): DAPHNE BERRYHILL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 FISH HATCHERY RD
MADISON WI
53715-1909
US

IV. Provider business mailing address

1908 MANCHESTER XING
WAUNAKEE WI
53597-2000
US

V. Phone/Fax

Practice location:
  • Phone: 608-252-8000
  • Fax:
Mailing address:
  • Phone: 847-529-8762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number19813-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: