Shell Lake Pharmacy Ltd

LBN: Shell Lake Pharmacy Ltd
Shell Lake Pharmacy Ltd is an health care organization with primary practice located at 113 4Th Ave , Shell Lake WI 54871-4457. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shell Lake Pharmacy Ltd can be contacted via phone (715) 468-7800, or through Wiles, Paige via phone (715) 418-3478.

Contact Information

Primary practice address
113 4Th Ave Shell Lake WI 54871-4457
Phone: (715) 468-7800
Fax: (715) 468-7921
Website:
Map and Directions
Authorized official contact:
Name: Wiles, Paige
Phone: (715) 418-3478

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6461042 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1356413850
LBN Legal business name Shell Lake Pharmacy Ltd
DBA Doing business as
Authorized official Wiles, Paige
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Oct 4th, 2024 - about 2 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 1356413850 NPPES
Wisconsin MEDICAID 33038100

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