Mallatt'S Pharmacy And Costume #101

LBN: Mike Flint Enterprises Inc
Mallatt'S Pharmacy And Costume #101 is an health care organization with primary practice located at 1255 Williamson St , Madison WI 53703-3754. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mike Flint Enterprises Inc can be contacted via phone (608) 255-9116, or through Flint, John Michael via phone (608) 310-9922.

Contact Information

Primary practice address
1255 Williamson St Madison WI 53703-3754
Phone: (608) 255-9116
Fax: (608) 255-9969
Website:
Map and Directions
Authorized official contact:
Name: Flint, John Michael
Phone: (608) 310-9922

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9024-42 Wisconsin

Profile Details

NPI number 1679575476
LBN Legal business name Mike Flint Enterprises Inc
DBA Doing business as Mallatt'S Pharmacy And Costume #101
Authorized official Flint, John Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated May 18th, 2015 - about 11 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 1679575476 NPPES
Wisconsin MEDICAID 33074800
Wisconsin Other 2126885

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