Tangen Drug Inc

LBN: Tangen Drug Inc
Tangen Drug Inc is an health care organization with primary practice located at 124 N Washington St , Saint Croix Falls WI 54024-9243. 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. Tangen Drug Inc can be contacted via phone (715) 483-3271, or through Tempesta, Josh via phone (715) 483-3271.

Contact Information

Primary practice address
124 N Washington St Saint Croix Falls WI 54024-9243
Phone: (715) 483-3271
Fax: (715) 483-1847
Website:
Map and Directions
Authorized official contact:
Name: Tempesta, Josh PHRAMD
Phone: (715) 483-3271

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5271-42 Wisconsin

Profile Details

NPI number 1992743348
LBN Legal business name Tangen Drug Inc
DBA Doing business as Tangen Drug Inc
Authorized official Tempesta, Josh PHRAMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 19th, 2018 - about 7 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 1992743348 NPPES
Other 2113064 PK
MEDICAID 05810857900 PK
MEDICAID 33100300 PK

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