Cudahy Clinic Serv U Phcy
LBN: Cudahy Clinic Phcy Inc
Cudahy Clinic Serv U Phcy is an health care organization with primary practice located at 3533 E Ramsey Ave , Cudahy WI 53110-3009. 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.
Cudahy Clinic Phcy Inc can be contacted via phone (414) 769-6150, or through Topolovich, Peter via phone (414) 769-6150.
Contact Information
Primary practice address
3533 E Ramsey Ave
Cudahy WI 53110-3009
Phone: (414) 769-6150
Fax: (414) 769-1551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 6574042 | Wisconsin |
Profile Details
| NPI number | 1124039771 |
|---|---|
| LBN Legal business name | Cudahy Clinic Phcy Inc |
| DBA Doing business as | Cudahy Clinic Serv U Phcy |
| Authorized official | Topolovich, Peter RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Oct 16th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124039771 | NPPES |
| Other | 5117064 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 33046100 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | 5117064 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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