Source One Healthcare a Division of Phillips Pharmacies
Source One Healthcare a Division of Phillips Pharmacies is a Health Maintenance Organization in Mauston, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
123 E State StMauston, WI 53948-1344
Phone: (800) 779-1276
Fax: (608) 847-5739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X |
|---|
Record details
| NPI number | 1205997517 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Phillips Drug Store Inc |
| Authorized official | Wayne Macardy — President · (800) 779-1276 |
| Other names | Sourceone Healthcare |
| NPI enumerated | December 12, 2006 |
| Last updated in NPPES | November 13, 2007 |
| Mailing address | 123 E State St, P.O. Box 218, Mauston, WI 53948-1344 |