<Unavail>

LBN: Manitowoc Pharmacies Inc
<Unavail> is an health care organization with primary practice located at 121 N Saint Augustine St , Pulaski WI 54162-7982. 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. Manitowoc Pharmacies Inc can be contacted via phone (920) 822-3011, or through Resch, Shane via phone (715) 253-2164.

Contact Information

Primary practice address
121 N Saint Augustine St Pulaski WI 54162-7982
Fax: (920) 822-3852
Website:
Authorized official contact:
Name: Resch, Shane

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7901-42 Wisconsin

Profile Details

NPI number 1437264488
LBN Legal business name Manitowoc Pharmacies Inc
DBA Doing business as <Unavail>
Authorized official Resch, Shane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
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 1437264488 NPPES
Wisconsin MEDICAID 33240600
Wisconsin Other 2134085

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