Gwidt Pharmacy

LBN: Gwidt Pharmacy Inc
Gwidt Pharmacy is an health care organization with primary practice located at 203 E Westgor Ave Suite 1, Wittenberg WI 54499-9174. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Gwidt Pharmacy Inc can be contacted via phone (715) 253-2164, or through Resch, Shane via phone (715) 253-2164.

Contact Information

Primary practice address
203 E Westgor Ave Suite 1 Wittenberg WI 54499-9174
Phone: (715) 253-2164
Fax: (715) 253-3030
Website:
Map and Directions
Authorized official contact:
Name: Resch, Shane
Phone: (715) 253-2164

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 8989-42 Wisconsin

Profile Details

NPI number 1649501586
LBN Legal business name Gwidt Pharmacy Inc
DBA Doing business as Gwidt Pharmacy
Authorized official Resch, Shane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2010
Last updated Aug 12th, 2016 - 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 1649501586 NPPES
Other 2123642 PK

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