Field Pharmacy Llc

LBN: Field Pharmacy Llc
Field Pharmacy Llc is an health care organization with primary practice located at 135 W Huron St , Berlin WI 54923-1596. 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. Field Pharmacy Llc can be contacted via phone (920) 361-1565, or through Buttke, Jason via phone (920) 361-1565.

Contact Information

Primary practice address
135 W Huron St Berlin WI 54923-1596
Phone: (920) 361-1565
Fax: (920) 361-1582
Website:
Map and Directions
Authorized official contact:
Name: Buttke, Jason RPH
Phone: (920) 361-1565

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8063-42 Wisconsin

Profile Details

NPI number 1013092303
LBN Legal business name Field Pharmacy Llc
DBA Doing business as Field Pharmacy Llc
Authorized official Buttke, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 16th, 2015 - 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 1013092303 NPPES
Other 2111899 PK
MEDICAID 33095200 PK

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