Kimberly Pharmacy, Inc.

LBN: Kimberly Pharmacy, Inc.
Kimberly Pharmacy, Inc. is an health care organization with primary practice located at 110 E Kimberly Ave , Kimberly WI 54136-1401. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kimberly Pharmacy, Inc. can be contacted via phone (920) 788-1940, or through Van Asten, Keith John via phone (920) 788-1940.

Contact Information

Primary practice address
110 E Kimberly Ave Kimberly WI 54136-1401
Phone: (920) 788-1940
Fax: (920) 788-3373
Website:
Map and Directions
Authorized official contact:
Name: Van Asten, Keith John RPH
Phone: (920) 788-1940

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5651-042 Wisconsin

Profile Details

NPI number 1447311246
LBN Legal business name Kimberly Pharmacy, Inc.
DBA Doing business as
Authorized official Van Asten, Keith John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1447311246 NPPES
Other 5103887 NCPDP #
MEDICAID 33078300 NCPDP #
Other 5651-042 NCPDP #

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