House Of Wellness Pharmacy
LBN: Ho Chunk Nation
House Of Wellness Pharmacy is an health care organization with primary practice located at S2845 White Eagle Rd , Baraboo WI 53913-9064. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty.
Ho Chunk Nation can be contacted via phone (608) 355-5177, or through Apland, Wally L via phone (715) 284-9851.
Contact Information
Primary practice address
S2845 White Eagle Rd
Baraboo WI 53913-9064
Phone: (608) 355-5177
Fax: (608) 356-1233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 8332-42 | Wisconsin |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1972725240 |
|---|---|
| LBN Legal business name | Ho Chunk Nation |
| DBA Doing business as | House Of Wellness Pharmacy |
| Authorized official | Apland, Wally L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Apr 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972725240 | NPPES |
| Other | 2109072 | PK | |
| MEDICAID | 33246800 | PK |
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