OrganizationActive
Divine Savior Healthcare, Inc.
NPI 1831693100 · Long Term Care Pharmacy · Portage, WI
Provider details
- NPI number
- 1831693100
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Divine Savior Healthcare, Inc.
- Authorized official
- Marlin Nelson, Cfo
Practice location
2817 New Pinery Road
Portage, WI 53901
Phone: (608) 745-5603
Fax: (608) 742-6098
Mailing address
2817 New Pinery Road
Portage, WI 53901
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2018-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.