Sheboygan Health Mart Pharmacy

LBN: Smiling Dog Investments Inc
Sheboygan Health Mart Pharmacy is an health care organization with primary practice located at 577 S Taylor Dr , Sheboygan WI 53081-4234. 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. Smiling Dog Investments Inc can be contacted via phone (920) 459-7467, or through Jorstad, Camala via phone (920) 254-7270.

Contact Information

Primary practice address
577 S Taylor Dr Sheboygan WI 53081-4234
Phone: (920) 459-7467
Fax: (920) 459-8851
Website:
Map and Directions
Authorized official contact:
Name: Jorstad, Camala
Phone: (920) 254-7270

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9088-42 Wisconsin

Profile Details

NPI number 1356639504
LBN Legal business name Smiling Dog Investments Inc
DBA Doing business as Sheboygan Health Mart Pharmacy
Authorized official Jorstad, Camala
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2011
Last updated Apr 5th, 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 1356639504 NPPES
Other 2131369 PK

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