<Unavail>

LBN: Badger Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 301 E 2Nd St , Merrill WI 54452-2317. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Badger Pharmacy Llc can be contacted via phone (715) 536-2909, or through Young, Forrest via phone (715) 842-0370.

Contact Information

Primary practice address
301 E 2Nd St Merrill WI 54452-2317
Phone: (715) 536-2909
Fax: (715) 536-5094
Website:
Map and Directions
Authorized official contact:
Name: Young, Forrest
Phone: (715) 842-0370

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 9172-42 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X 9172-42 Wisconsin

Profile Details

NPI number 1205164597
LBN Legal business name Badger Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Young, Forrest
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2009
Last updated Sep 18th, 2014 - about 12 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 1205164597 NPPES
Wisconsin MEDICAID 1205164597

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