Agnesian Pharmacy Waupun

LBN: Agnesian Healthcare Enterprises Llc
Agnesian Pharmacy Waupun is an health care organization with primary practice located at 904 W Main St , Waupun WI 53963-1201. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Agnesian Healthcare Enterprises Llc can be contacted via phone (920) 324-8703, or through Spencer, Kimberly via phone (920) 926-6011.

Contact Information

Primary practice address
904 W Main St Waupun WI 53963-1201
Phone: (920) 324-8703
Fax: (920) 324-3476
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Kimberly
Phone: (920) 926-6011

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1174145031
LBN Legal business name Agnesian Healthcare Enterprises Llc
DBA Doing business as Agnesian Pharmacy Waupun
Authorized official Spencer, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2020
Last updated Jun 7th, 2023 - about 3 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 1174145031 NPPES
Wisconsin MEDICAID 33272300

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