Theodore Shawn Regalia, RPH is a
Pharmacist based in Fall Creek, Wisconsin. Theodore Shawn Regalia is licensed to practice in Wisconsin (license number 10973-040) and his current practice location is
6725 Otter Creek Rd, Fall Creek, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 563-1586.
NPI number for Theodore Shawn Regalia is 1083809982 and his current mailing address is 6725 Otter Creek Rd, Fall Creek, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083809982.
Healthcare Provider's Profile
Full Name | Theodore Shawn Regalia |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 6725 Otter Creek Rd, Fall Creek, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083809982
- Provider Enumeration Date: 09/13/2007
- Last Update Date: 12/27/2012
Medical Identifiers
Medical identifiers for Theodore Shawn Regalia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083809982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 10973-040 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Shawn Regalia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theodore Shawn Regalia, RPH 6725 Otter Creek Rd, Fall Creek, WI 54742-9378 Ph: (715) 563-1586 | Theodore Shawn Regalia, RPH 6725 Otter Creek Rd, Fall Creek, WI 54742-9378 Ph: (715) 563-1586 |
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