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PAMIDA PHARMACY 108
NPI 1407800634
Pharmacy - Community/Retail Pharmacy in Abbotsford, WI

Active since May 20, 2006
1011 E SPRUCE ST, ABBOTSFORD, WI 54405(715) 223-2480(715) 223-2663 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pamida Pharmacy 108 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMIDA PHARMACY 108 (NPI 1407800634) is a healthcare organization registered as a community/retail pharmacy in Abbotsford, Wisconsin and active in the NPI registry since May 2006. The organization lists John Harlow, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1407800634
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePAMIDA STORES OPERATING CO LLC
Location Address1011 E SPRUCE STAbbotsford, WI 54405-9647
Mailing Address1011 E Spruce StAbbotsford, WI 54405-9647 · (715) 223-2480 · Fax (715) 223-2663
Phone(715) 223-2480
Fax(715) 223-2663
Organization SubpartNo
Authorized OfficialJohn HarlowCeo/president · (402) 596-7206
Enumeration DateMay 20, 2006
Last NPPES UpdateNovember 23, 2009
✔ NPI 1407800634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 8590042
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1011 E SPRUCE ST, Abbotsford, WI 54405
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Other Names 1

Doing Business AsPamida Pharmacy 108

Other Identifiers 4

Medicaid33270500WI
Medicare ID-Type Unspecified0459230118
Other5127483Ncpdp Number
Medicare ID-Type Unspecified5694490088

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-2480
ALPINE MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 316-0056
MR. DAVID JOSEPH WUNROW RPH
Pharmacist
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-4494
LISA PETRACK PHARMD
Pharmacist
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-4494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamida Stores Operating Co LLC's NPI number?

The NPI number for Pamida Stores Operating Co LLC is 1407800634. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Pamida Pharmacy 108.

Where is Pamida Stores Operating Co LLC located?

Pamida Stores Operating Co LLC is located at 1011 E Spruce St, Abbotsford, WI 54405. The listed phone number is (715) 223-2480.

What is Pamida Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Pamida Stores Operating Co LLC was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.