<Unavail>

LBN: Marshland Pharmacies Inc
<Unavail> is an health care organization with primary practice located at 705 S University Ave , Beaver Dam WI 53916-3053. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Marshland Pharmacies Inc can be contacted via phone (920) 356-0040, or through Sutter, John via phone (920) 356-0040.

Contact Information

Primary practice address
705 S University Ave Beaver Dam WI 53916-3053
Phone: (920) 356-0040
Fax: (920) 356-0056
Website:
Map and Directions
Authorized official contact:
Name: Sutter, John
Phone: (920) 356-0040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8546042 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1124033758
LBN Legal business name Marshland Pharmacies Inc
DBA Doing business as <Unavail>
Authorized official Sutter, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 15th, 2014 - about 12 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 1124033758 NPPES
Other 2110854 PK
MEDICAID 33287900 PK

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