Peterson Pharmacy

LBN: Peterson Pharmacy Inc
Peterson Pharmacy is an health care organization with primary practice located at 727 Water Ave , Hillsboro WI 54634-6229. 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. Peterson Pharmacy Inc can be contacted via phone (608) 489-3141, or through Dzelil, Selma via phone (815) 715-8502.

Contact Information

Primary practice address
727 Water Ave Hillsboro WI 54634-6229
Phone: (608) 489-3141
Fax: (608) 489-2821
Website:
Map and Directions
Authorized official contact:
Name: Dzelil, Selma
Phone: (815) 715-8502

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7133-42 Wisconsin

Profile Details

NPI number 1144246000
LBN Legal business name Peterson Pharmacy Inc
DBA Doing business as Peterson Pharmacy
Authorized official Dzelil, Selma
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 10th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144246000 NPPES
Wisconsin MEDICAID 33175900
Wisconsin Other 2115157

Popular Providers