Medpak Pharmacy

LBN: Kcje Ford Inc
Medpak Pharmacy is an health care organization with primary practice located at 505 King St Ste 154 , La Crosse WI 54601-4062. 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. Kcje Ford Inc can be contacted via phone (608) 782-4448, or through Basseuner, Kristy via phone (608) 784-9922.

Contact Information

Primary practice address
505 King St Ste 154 La Crosse WI 54601-4062
Phone: (608) 782-4448
Fax: (608) 782-4449
Website:
Map and Directions
Authorized official contact:
Name: Basseuner, Kristy
Phone: (608) 784-9922

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 9122-042 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1679801807
LBN Legal business name Kcje Ford Inc
DBA Doing business as Medpak Pharmacy
Authorized official Basseuner, Kristy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2009
Last updated Aug 11th, 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 1679801807 NPPES
Wisconsin MEDICAID 100007292
Wisconsin Other 2122806

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