Agnesian Pharmacy

LBN: Agnesian Healthcare Enterprises Llc
Agnesian Pharmacy is an health care organization with primary practice located at 145 N Main St , Fond Du Lac WI 54935-3423. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Agnesian Healthcare Enterprises Llc can be contacted via phone (920) 921-4660, or through Hyland, Nancy via phone (920) 926-8723.

Contact Information

Primary practice address
145 N Main St Fond Du Lac WI 54935-3423
Phone: (920) 921-4660
Fax: (920) 922-5011
Website:
Map and Directions
Authorized official contact:
Name: Hyland, Nancy PHARM D
Phone: (920) 926-8723

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8270-42 Wisconsin

Profile Details

NPI number 1104891746
LBN Legal business name Agnesian Healthcare Enterprises Llc
DBA Doing business as Agnesian Pharmacy
Authorized official Hyland, Nancy PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104891746 NPPES
Other 2109968 PK
MEDICAID 33259200 PK

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