Surety Pro Pharmacy Llc

LBN: Surety Pro Pharmacy Llc
Surety Pro Pharmacy Llc is an health care organization with primary practice located at 9200 W Layton Ave , Greenfield WI 53228-3348. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Surety Pro Pharmacy Llc can be contacted via phone (414) 433-0188, or through Olszewski, Gary P. via phone (414) 433-0188.

Contact Information

Primary practice address
9200 W Layton Ave Greenfield WI 53228-3348
Phone: (414) 433-0188
Fax: (414) 433-0292
Website:
Map and Directions
Authorized official contact:
Name: Olszewski, Gary P. RPH
Phone: (414) 433-0188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 9083-42 Wisconsin

Profile Details

NPI number 1942589445
LBN Legal business name Surety Pro Pharmacy Llc
DBA Doing business as Surety Pro Pharmacy Llc
Authorized official Olszewski, Gary P. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2011
Last updated Oct 24th, 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 1942589445 NPPES
Other 2131230 PK

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