Village Pharmacy Inc

LBN: Village Pharmacy Inc
Village Pharmacy Inc is an health care organization with primary practice located at 633 N Hwy 141 Box 186, Coleman WI 54112-0186. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Village Pharmacy Inc can be contacted via phone (920) 897-5333, or through Hines, Jeffrey Dean via phone (920) 897-5333.

Contact Information

Primary practice address
633 N Hwy 141 Box 186 Coleman WI 54112-0186
Phone: (920) 897-5333
Fax: (920) 897-5451
Website:
Map and Directions
Authorized official contact:
Name: Hines, Jeffrey Dean RPH
Phone: (920) 897-5333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8460 Wisconsin

Profile Details

NPI number 1124031463
LBN Legal business name Village Pharmacy Inc
DBA Doing business as
Authorized official Hines, Jeffrey Dean RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1124031463 NPPES
Wisconsin MEDICAID 33257500
Wisconsin Other 5126582

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