OrganizationActive
Mercy Health System Corporation
NPI 1639460736 · Long Term Care Pharmacy · Janesville, WI
Provider details
- NPI number
- 1639460736
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Joan Shadel, Director of Retail Services(608) 755-8787
- License
- 9068 (WI)
Specialties & taxonomies
Suppliers
Practice location
1010 N Washington St Ste 107
Janesville, WI 53548-1500
Phone: (608) 755-4196
Fax: (608) 755-8710
Approximate (ZIP-level) locationGet directions
Mailing address
1010 N Washington St
Janesville, WI 53548-1500
Other names (DBA / former)
- Doing business as
- Mercy Mall Ltc Pharmacy
Registry dates
- Enumerated
- 2011-04-22
- Last updated
- 2011-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.