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General NPI Number Information
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NPI Number | 1376778829
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2015 LINDEN DR UW MADISON SCHOOL OF VETERINARY MEDICINE PHARMACY
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City | MADISON
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State | WI
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Zip | 53706-1100
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Country | US
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Telephone | 608-263-9950
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 LINDEN DR UW MADISON SCHOOL OF VETERINARY MEDICINE PHARMACY
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City | MADISON
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State | WI
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Zip | 53706-1100
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Country | US
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Telephone | 608-263-9950
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. JIM BUDDE
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Credential | PHARM.D.
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Telephone | 608-263-9950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 6434
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License Number State | WI
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