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Forum Extended Care Services of Wisconsin Inc — NPI 1013169598, Madison, WI | NPI Central

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NPI 1013169598

OrganizationActive

Forum Extended Care Services of Wisconsin Inc

NPI 1013169598 · Long Term Care Pharmacy · Madison, WI

Provider details

NPI number: 1013169598
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Brian Kramer, President(847) 673-8727

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003XLicense 9417-42 (WI)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

2445 Darwin Rd

Suite 102

Madison, WI 53704-3116

Phone: (608) 240-2280

Fax: (608) 240-2288

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

4201 W Victoria St

Chicago, IL 60646-6700

Other names (DBA / former)

Doing business as: Willow Pharmacy
Doing business as: Willow Pharmacy

Registry dates

Enumerated: 2008-10-16
Last updated: 2022-03-22
Certified: 2022-03-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.