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Gary Dean

Pharmacist in Delavan, WI. Individual provider (NPI-1).

NPI number1407286271
StatusActive
Last updated in NPPESNov 15, 2013

Details

NPI
1407286271
Entity type
Individual (NPI-1)
Name
Gary Dean
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 15, 2013
Last updated
Nov 15, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist8544WIYes

Practice location

1450 E. Geneva St.
Delavan, WI 53115-4201

Phone 262-728-0062 · Fax 262-728-0055

Mailing address

1450 E Geneva St
Delavan, WI 53115-2025

Phone 262-728-0062 · Fax 262-728-0055

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Delavan, WI

All 9 Pharmacist providers in Delavan · All 188 providers in Delavan

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