Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prohealth Oconomowoc Memorial Hospital, Inc

Organization Institutional Pharmacy · NPI 1982797312

Prohealth Oconomowoc Memorial Hospital, Inc is an Institutional Pharmacy in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

791 Summit Ave
Oconomowoc, WI 53066-3844
Phone: (262) 569-0471
Fax: (262) 569-0422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Institutional Pharmacy (primary) Taxonomy 3336I0012X · Licence 4758042 (WI)

Record details

NPI number1982797312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Johnson — Reimbursement Manager · (262) 928-4704
NPI enumeratedSeptember 30, 2006
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address791 Summit Ave, Oconomowoc, WI 53066-3844

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