Mcfarland Hometown Pharmacy
LBN: Md Group Llc
Mcfarland Hometown Pharmacy is an health care organization with primary practice located at 4880 Larson Beach Rd , Mc Farland WI 53558-8724. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Md Group Llc can be contacted via phone (608) 838-7455, or through Mabie, Matthew via phone (920) 992-6800.
Contact Information
Primary practice address
4880 Larson Beach Rd
Mc Farland WI 53558-8724
Phone: (608) 838-7455
Fax: (608) 838-8329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8414042 | Wisconsin |
Profile Details
| NPI number | 1205870672 |
|---|---|
| LBN Legal business name | Md Group Llc |
| DBA Doing business as | Mcfarland Hometown Pharmacy |
| Authorized official | Mabie, Matthew R PH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | May 21st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205870672 | NPPES |
| Other | 5113066 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 1205870672 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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