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

Thedacare Medical Center - Shawano, Inc

Organization Community/Retail Pharmacy · NPI 1306516604

Thedacare Medical Center - Shawano, Inc is a Community/Retail Pharmacy in Shawano, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-7300
Fax: (920) 993-5031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1306516604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Flett — Cfo · (920) 454-4013
Other names Thedacare Apothecary-Shawano; Thedacare Apothecary-Shawano
NPI enumeratedSeptember 17, 2021
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address100 County Road B, Shawano, WI 54166-7072