<Unavail>

LBN: Good Value Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 10233 W Greenfield Ave , West Allis WI 53214-3911. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Good Value Pharmacy Llc can be contacted via phone (414) 727-5750, or through Pearson, Richard A. via phone (414) 727-5750.

Contact Information

Primary practice address
10233 W Greenfield Ave West Allis WI 53214-3911
Phone: (414) 727-5750
Fax: (414) 727-5770
Website:
Map and Directions
Authorized official contact:
Name: Pearson, Richard A.
Phone: (414) 727-5750

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8268 Wisconsin
Suppliers / Institutional Pharmacy 3336I0012X 8268 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X 8268 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X 8268 Wisconsin

Profile Details

NPI number 1164509949
LBN Legal business name Good Value Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Pearson, Richard A.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 7th, 2023 - about 3 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 1164509949 NPPES
Nebraska MEDICAID 10025290400
Nebraska MEDICAID 33042600
Nebraska Other 5116425
Nebraska MEDICAID 0593400

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