Healthcare Provider Details

I. General information

NPI: 1093634933
Provider Name (Legal Business Name): ROCKMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1571 IVORY DR
SUN PRAIRIE WI
53590-1820
US

IV. Provider business mailing address

1571 IVORY DR
SUN PRAIRIE WI
53590-1820
US

V. Phone/Fax

Practice location:
  • Phone: 608-318-2871
  • Fax: 855-523-0916
Mailing address:
  • Phone: 608-318-2871
  • Fax: 855-523-0916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MCGLYNN
Title or Position: OWNER
Credential:
Phone: 608-403-5951