OrganizationActive
Agnesian Healthcare Inc
NPI 1962477588 · Community/Retail Pharmacy · Fond Du Lac, WI
Provider details
- NPI number
- 1962477588
- 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
420 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-8585
Fax: (920) 926-8935
Approximate (ZIP-level) locationGet directions
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Other names (DBA / former)
- Doing business as
- Ssm Health Pharmacy
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2025-02-07
- Certified
- 2025-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.