=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922646579
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEDICAL HEALTH PHARMACY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/13/2019
-----------------------------------------------------
Last Update Date | 03/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2222 PLEASANT VIEW RD UNIT 1
-----------------------------------------------------
City | MIDDLETON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53562-5526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-716-2525
-----------------------------------------------------
Fax | 608-716-2535
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2222 PLEASANT VIEW RD UNIT 1
-----------------------------------------------------
City | MIDDLETON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53562-5526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-716-2525
-----------------------------------------------------
Fax | 608-716-2535
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, MANAGING PHARMACIST
-----------------------------------------------------
Name | MICHAEL R MCCANN
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 608-716-2525
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------