OrganizationActive
Ballweg Family Pharmacy Inc
NPI 1104532654 · Long Term Care Pharmacy · Prairie Du Sac, WI
Provider details
- NPI number
- 1104532654
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Ballweg Family Pharmacy, Inc
- Organization subpart
- Yes
- Authorized official
- Dennis Ballweg, President(608) 643-6500
Specialties & taxonomies
Suppliers
Practice location
1200 Prairie St
Prairie Du Sac, WI 53578-2041
Phone: (608) 643-6500
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Prairie St
Prairie Du Sac, WI 53578-2041
Other names (DBA / former)
- Other name
- Ballweg Family Pharmacy Inc Long-Term Care
Registry dates
- Enumerated
- 2023-01-27
- Last updated
- 2023-10-06
- Certified
- 2023-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.