Three Lakes Pharmacy

LBN: Djh Inc
Three Lakes Pharmacy is an health care organization with primary practice located at 1790 Superior Street , Three Lakes WI 54562-0437. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Djh Inc can be contacted via phone (715) 546-3266, or through Hapka, David John via phone (715) 546-3266.

Contact Information

Primary practice address
1790 Superior Street Three Lakes WI 54562-0437
Phone: (715) 546-3266
Fax: (715) 546-2912
Website:
Map and Directions
Authorized official contact:
Name: Hapka, David John RPH
Phone: (715) 546-3266

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 6651 Wisconsin

Profile Details

NPI number 1720224678
LBN Legal business name Djh Inc
DBA Doing business as Three Lakes Pharmacy
Authorized official Hapka, David John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2008
Last updated Oct 5th, 2011 - about 15 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 1720224678 NPPES
Wisconsin MEDICAID 33054800

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