OrganizationActive
Agnesian Healthcare Inc
NPI 1366417917 · Community/Retail Pharmacy · Waupun, WI
Provider details
- NPI number
- 1366417917
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amy Grinnell, Finance Vice President Wi Region(608) 260-3586
Specialties & taxonomies
Suppliers
Practice location
904 W Main St
Waupun, WI 53963-1201
Phone: (920) 324-3010
Fax: (920) 324-3875
Approximate (ZIP-level) locationGet directions
Mailing address
904 W Main St
Waupun, WI 53963-1201
Other names (DBA / former)
- Doing business as
- Ssm Health Pharmacy
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.