<Unavail>

LBN: Badger Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 555 S 72Nd Ave , Wausau WI 54401-9038. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Badger Pharmacy Llc can be contacted via phone (715) 842-0791, or through Young, Forrest via phone (715) 842-0370.

Contact Information

Primary practice address
555 S 72Nd Ave Wausau WI 54401-9038
Phone: (715) 842-0791
Fax: (715) 845-2176
Website:
Map and Directions
Authorized official contact:
Name: Young, Forrest RPH
Phone: (715) 842-0370

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 9061-042 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X 9061-042 Wisconsin

Profile Details

NPI number 1609981653
LBN Legal business name Badger Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Young, Forrest RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 4th, 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 1609981653 NPPES
Wisconsin MEDICAID 1609981653
Wisconsin Other 5128144

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