<Unavail>

LBN: North Shore Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 1421 E Capitol Dr , Shorewood WI 53211-1956. 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. North Shore Pharmacy Inc can be contacted via phone (414) 962-9665, or through Lawless, Jeffery via phone (414) 962-9665.

Contact Information

Primary practice address
1421 E Capitol Dr Shorewood WI 53211-1956
Phone: (414) 962-9665
Fax: (414) 962-4590
Website:
Map and Directions
Authorized official contact:
Name: Lawless, Jeffery
Phone: (414) 962-9665

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4914 Wisconsin

Profile Details

NPI number 1316009038
LBN Legal business name North Shore Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Lawless, Jeffery
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2006
Last updated Aug 23rd, 2010 - about 16 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 1316009038 NPPES
Other 5104271 OTHER ID NUMBER
MEDICAID 33152000 OTHER ID NUMBER

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