Konsella Health Mart Pharmacy

LBN: Pharmacare Ltd
Konsella Health Mart Pharmacy is an health care organization with primary practice located at 212 Bay Street , Chippewa Falls WI 54729-2491. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pharmacare Ltd can be contacted via phone (715) 723-9177, or through Levin, Timothy E via phone (715) 833-6770.

Contact Information

Primary practice address
212 Bay Street Chippewa Falls WI 54729-2491
Phone: (715) 723-9177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levin, Timothy E
Phone: (715) 833-6770

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902962889
LBN Legal business name Pharmacare Ltd
DBA Doing business as Konsella Health Mart Pharmacy
Authorized official Levin, Timothy E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Sep 26th, 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 1902962889 NPPES
Other 5103356 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 36222000 OTHER ID NUMBER-COMMERCIAL NUMBER

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