Aspirus Clinic Pharmacy

LBN: Aspirus Medical Group, Inc.
Aspirus Clinic Pharmacy is an health care organization with primary practice located at 425 Pine Ridge Blvd Ste 103 , Wausau WI 54401-4122. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Aspirus Medical Group, Inc. can be contacted via phone (715) 847-2547, or through Yang, Jerry M via phone (715) 847-2526.

Contact Information

Primary practice address
425 Pine Ridge Blvd Ste 103 Wausau WI 54401-4122
Phone: (715) 847-2547
Fax: (715) 847-2551
Website:
Map and Directions
Authorized official contact:
Name: Yang, Jerry M
Phone: (715) 847-2526

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 9252-42 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588766505
LBN Legal business name Aspirus Medical Group, Inc.
DBA Doing business as Aspirus Clinic Pharmacy
Authorized official Yang, Jerry M
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jun 14th, 2024 - about 2 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 1588766505 NPPES
Wisconsin MEDICAID 1588766505

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