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

Thedacare Medical Center-Berlin Inc

Organization Pharmacy · NPI 1184784159

Thedacare Medical Center-Berlin Inc is a Pharmacy in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
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

N2934 Hwy 22 N
Wautoma, WI 54982-5267
Phone: (920) 787-5757
Fax: (920) 787-5382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 7733-42 (WI)
Pharmacy Taxonomy 333600000X

Record details

NPI number1184784159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alissa Gies — Pharmacist Of Record · (920) 787-5757
Other names Thedacare Pharmacy - Wautoma
NPI enumeratedDecember 11, 2006
Last updated in NPPESApril 18, 2017
Mailing addressN2934 Hwy 22 N, Wautoma, WI 54982

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