Provider Demographics
NPI:1568015022
Name:T A SOLBERG CO INC
Entity Type:Organization
Organization Name:T A SOLBERG CO INC
Other - Org Name:TRIG'S PHARMACY-RHINELANDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:715-479-6413
Mailing Address - Street 1:232 S COURTNEY ST STOP 3
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-3308
Mailing Address - Country:US
Mailing Address - Phone:715-369-4849
Mailing Address - Fax:715-369-1477
Practice Address - Street 1:232 S COURTNEY ST STOP 3
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3308
Practice Address - Country:US
Practice Address - Phone:715-369-4849
Practice Address - Fax:715-369-1477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:T A SOLBERG CO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-23
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33161200Medicaid