Central Wisconsin Center Pharmacy Department
LBN: State Of Wisconsin
Central Wisconsin Center Pharmacy Department is an health care organization with primary practice located at 317 Knutson Dr , Madison WI 53704-1133. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
State Of Wisconsin can be contacted via phone (608) 301-1946, or through Holling, Janice via phone (608) 301-9229.
Contact Information
Primary practice address
317 Knutson Dr
Madison WI 53704-1133
Phone: (608) 301-1946
Fax: (608) 301-1871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 1000-042 | Wisconsin |
Profile Details
| NPI number | 1588703078 |
|---|---|
| LBN Legal business name | State Of Wisconsin |
| DBA Doing business as | Central Wisconsin Center Pharmacy Department |
| Authorized official | Holling, Janice |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Oct 21st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588703078 | NPPES |
| Wisconsin | Other | 5106770 | NCPDP |
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