Forum Extended Care Services of Wisconsin Inc
Forum Extended Care Services of Wisconsin Inc is a Pharmacy in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2445 Darwin Rd Ste 102Madison, WI 53704-3116
Phone: (608) 240-2280
Fax: (608) 240-2288
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 9417-42 (WI) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1013169598 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Kramer — President · (847) 673-8727 |
| Other names | Willow Pharmacy; Willow Pharmacy |
| NPI enumerated | October 16, 2008 |
| Last updated in NPPES | March 22, 2022 |
| Certification date | March 22, 2022 |
| Mailing address | 4201 W Victoria St, Chicago, IL 60646-6700 |
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