Medicate Pharmacy Inc

LBN: Medicate Pharmacy Inc
Medicate Pharmacy Inc is an health care organization with primary practice located at 2741 W Layton Ave Ste 102 , Milwaukee WI 53221-2600. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medicate Pharmacy Inc can be contacted via phone (414) 539-3912, or through Surani, Vibha via phone (630) 624-3545.

Contact Information

Primary practice address
2741 W Layton Ave Ste 102 Milwaukee WI 53221-2600
Phone: (414) 539-3912
Fax: (414) 539-3913
Website:
Map and Directions
Authorized official contact:
Name: Surani, Vibha
Phone: (630) 624-3545

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9272-42 Wisconsin
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1558777938
LBN Legal business name Medicate Pharmacy Inc
DBA Doing business as Medicate Pharmacy Inc
Authorized official Surani, Vibha
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2014
Last updated Nov 29th, 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 1558777938 NPPES
Wisconsin MEDICAID 100038961
Wisconsin Other 2146746

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