Restore Health Pharmacy, Llc

LBN: Restore Health Pharmacy, Llc
Restore Health Pharmacy, Llc is an health care organization with primary practice located at 1289 Deming Way , Madison WI 53717-2007. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Restore Health Pharmacy, Llc can be contacted via phone (800) 558-7046, or through Wanderer, Matthew via phone (480) 421-8005.

Contact Information

Primary practice address
1289 Deming Way Madison WI 53717-2007
Phone: (800) 558-7046
Fax: (888) 898-7412
Website:
Map and Directions
Authorized official contact:
Name: Wanderer, Matthew PHARMD
Phone: (480) 421-8005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9070-042 Wisconsin
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1750673919
LBN Legal business name Restore Health Pharmacy, Llc
DBA Doing business as Restore Health Pharmacy, Llc
Authorized official Wanderer, Matthew PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2011
Last updated Feb 23rd, 2015 - about 11 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 1750673919 NPPES
Other 2130190 PK

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