Maple Ridge Pharmacy

LBN: Cumberland Memorial Hospital, Inc
Maple Ridge Pharmacy is an health care organization with primary practice located at 1705 16Th Ave , Cumberland WI 54829. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Cumberland Memorial Hospital, Inc can be contacted via phone (715) 822-7548, or through Dilley, Emily via phone (715) 822-7252.

Contact Information

Primary practice address
1705 16Th Ave Cumberland WI 54829
Phone: (715) 822-7548
Fax: (715) 822-7111
Website:
Map and Directions
Authorized official contact:
Name: Dilley, Emily
Phone: (715) 822-7252

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1093429821
LBN Legal business name Cumberland Memorial Hospital, Inc
DBA Doing business as Maple Ridge Pharmacy
Authorized official Dilley, Emily
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2023
Last updated Mar 12th, 2024 - 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 1093429821 NPPES
Wisconsin Other 10002 WISCONSIN STATE PHARMACY LICENSE

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