Pharmacy Compounding Center Associates Llc

LBN: Pharmacy Compounding Center Associates Llc
Pharmacy Compounding Center Associates Llc is an health care organization with primary practice located at 1907 West Ave S , La Crosse WI 54601-6206. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pharmacy Compounding Center Associates Llc can be contacted via phone (608) 788-4500, or through Brieske, Thomas via phone (608) 386-9039.

Contact Information

Primary practice address
1907 West Ave S La Crosse WI 54601-6206
Fax: (608) 788-4501
Website:
Authorized official contact:
Name: Brieske, Thomas

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 943642 Wisconsin

Profile Details

NPI number 1497299762
LBN Legal business name Pharmacy Compounding Center Associates Llc
DBA Doing business as
Authorized official Brieske, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2016
Last updated Dec 6th, 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 1497299762 NPPES
Wisconsin Other 943642 WISCONSIN PHARMACY LIC

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