<Unavail>
LBN: Mount Horeb Family Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 203 W Main St , Mount Horeb WI 53572-1914. 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.
Mount Horeb Family Pharmacy Llc can be contacted via phone (608) 437-3001, or through Weiland, Jennifer via phone (608) 437-3001.
Contact Information
Primary practice address
203 W Main St
Mount Horeb WI 53572-1914
Phone: (608) 437-3001
Fax: (608) 437-6480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 835442 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1003914045 |
|---|---|
| LBN Legal business name | Mount Horeb Family Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Weiland, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jun 8th, 2026 - about 5 months 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 | 1003914045 | NPPES |
| Other | 2112892 | PK | |
| Other | K300846024 | PK | |
| MEDICAID | 33271700 | PK |
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