Provider Demographics
NPI:1376778829
Name:UW-MADISON VET MED HOSPITAL PHARMACY
Entity Type:Organization
Organization Name:UW-MADISON VET MED HOSPITAL PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDDE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:608-263-9950
Mailing Address - Street 1:2015 LINDEN DR
Mailing Address - Street 2:UW MADISON SCHOOL OF VETERINARY MEDICINE PHARMACY
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53706-1100
Mailing Address - Country:US
Mailing Address - Phone:608-263-9950
Mailing Address - Fax:
Practice Address - Street 1:2015 LINDEN DR
Practice Address - Street 2:UW MADISON SCHOOL OF VETERINARY MEDICINE PHARMACY
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53706-1100
Practice Address - Country:US
Practice Address - Phone:608-263-9950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI64343336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy