Phillips Tomah Pharmacy Inc

LBN: Phillips Tomah Pharmacy Inc
Phillips Tomah Pharmacy Inc is an health care organization with primary practice located at 1004 Superior Ave , Tomah WI 54660-2002. 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. Phillips Tomah Pharmacy Inc can be contacted via phone (608) 372-4115, or through Macardy, Wayne via phone (800) 343-3784.

Contact Information

Primary practice address
1004 Superior Ave Tomah WI 54660-2002
Phone: (608) 372-4115
Fax: (608) 372-4116
Website:
Map and Directions
Authorized official contact:
Name: Macardy, Wayne RPH
Phone: (800) 343-3784

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7805-42 Wisconsin

Profile Details

NPI number 1447222799
LBN Legal business name Phillips Tomah Pharmacy Inc
DBA Doing business as Phillips Tomah Pharmacy Inc
Authorized official Macardy, Wayne RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 19th, 2018 - about 8 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 1447222799 NPPES
Other 2113172 PK
MEDICAID 33234400 PK

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