Wood River Pharmacy

LBN: Bellicose International Inc.
Wood River Pharmacy is an health care organization with primary practice located at 122 W Madison Ave , Grantsburg WI 54840-7022. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bellicose International Inc. can be contacted via phone (715) 463-2525, or through Dzelil, Selma via phone (815) 715-8502.

Contact Information

Primary practice address
122 W Madison Ave Grantsburg WI 54840-7022
Phone: (715) 463-2525
Fax: (715) 463-5343
Website:
Map and Directions
Authorized official contact:
Name: Dzelil, Selma PHARMD
Phone: (815) 715-8502

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6872 Wisconsin
Suppliers / Pharmacy 333600000X 6872 Wisconsin

Profile Details

NPI number 1639174980
LBN Legal business name Bellicose International Inc.
DBA Doing business as Wood River Pharmacy
Authorized official Dzelil, Selma PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 25th, 2023 - 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 1639174980 NPPES
Wisconsin Other 000086607 MEDICARE
Wisconsin Other 5106047 MEDICARE
Wisconsin MEDICAID 33154200 MEDICARE

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