Community Care Inc Pharmacy

LBN: Community Care Inc
Community Care Inc Pharmacy is an health care organization with primary practice located at 1555 S Layton Blvd , Milwaukee WI 53215-1924. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty. Community Care Inc can be contacted via phone (414) 902-2397, or through Munson, Kenneth via phone (414) 231-4000.

Contact Information

Primary practice address
1555 S Layton Blvd Milwaukee WI 53215-1924
Phone: (414) 902-2397
Fax: (414) 649-9149
Website:
Map and Directions
Authorized official contact:
Name: Munson, Kenneth
Phone: (414) 231-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X 8638-42 Wisconsin

Profile Details

NPI number 1932213923
LBN Legal business name Community Care Inc
DBA Doing business as Community Care Inc Pharmacy
Authorized official Munson, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Oct 24th, 2019 - about 7 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 1932213923 NPPES
Wisconsin MEDICAID 100036712
Wisconsin Other 2110889

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