Healthcare Provider Details

I. General information

NPI: 1033032552
Provider Name (Legal Business Name): CRAIG WILLIAM GRIFFIS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 DIVISION ST
MAUSTON WI
53948-1931
US

IV. Provider business mailing address

N7970 COUNTY ROAD M
NEW LISBON WI
53950-9785
US

V. Phone/Fax

Practice location:
  • Phone: 608-847-1255
  • Fax: 608-847-5487
Mailing address:
  • Phone: 608-847-1255
  • Fax: 608-847-5487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11394-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: