Oconto Falls Pharmacy

LBN: Gwidt Pharmacy Inc
Oconto Falls Pharmacy is an health care organization with primary practice located at 323 E Highland Dr , Oconto Falls WI 54154-1006. 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. Gwidt Pharmacy Inc can be contacted via phone (920) 848-3721, or through Starry, Timothy via phone (920) 848-3721.

Contact Information

Primary practice address
323 E Highland Dr Oconto Falls WI 54154-1006
Phone: (920) 848-3721
Fax: (920) 848-4374
Website:
Map and Directions
Authorized official contact:
Name: Starry, Timothy B.S. PHARM
Phone: (920) 848-3721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7999-42 Wisconsin

Profile Details

NPI number 1245319912
LBN Legal business name Gwidt Pharmacy Inc
DBA Doing business as Oconto Falls Pharmacy
Authorized official Starry, Timothy B.S. PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated May 1st, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245319912 NPPES
Wisconsin MEDICAID 33213600
Wisconsin Other 2112905

Popular Providers