Community Health Pharmacy

LBN: Community Health Pharmacy Llc
Community Health Pharmacy is an health care organization with primary practice located at 880 N. Mill St. Suite 101, West Salem WI 54669. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Community Health Pharmacy Llc can be contacted via phone (608) 786-2520, or through Brieske, Thomas A via phone (608) 386-9039.

Contact Information

Primary practice address
880 N. Mill St. Suite 101 West Salem WI 54669
Phone: (608) 786-2520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brieske, Thomas A
Phone: (608) 386-9039

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 9003-42 Wisconsin

Profile Details

NPI number 1073839114
LBN Legal business name Community Health Pharmacy Llc
DBA Doing business as Community Health Pharmacy
Authorized official Brieske, Thomas A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2010
Last updated Aug 9th, 2016 - about 10 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 1073839114 NPPES
Wisconsin MEDICAID 1073839114

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