<Unavail>

LBN: Mc5 Inc
<Unavail> is an health care organization with primary practice located at 1173 W Main St , Whitewater WI 53190-1672. 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. Mc5 Inc can be contacted via phone (262) 473-5065, or through Mccullough, James via phone (262) 248-8582.

Contact Information

Primary practice address
1173 W Main St Whitewater WI 53190-1672
Phone: (262) 473-5065
Fax: (262) 473-7357
Website:
Map and Directions
Authorized official contact:
Name: Mccullough, James
Phone: (262) 248-8582

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 6604042 Wisconsin

Profile Details

NPI number 1093824880
LBN Legal business name Mc5 Inc
DBA Doing business as <Unavail>
Authorized official Mccullough, James
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093824880 NPPES
Wisconsin MEDICAID 33048100
Wisconsin Other 5115844

Popular Providers