<Unavail>

LBN: Wisconsin Cvs Pharmacy, L.L.C.
<Unavail> is an health care organization with primary practice located at 433 Broadway St S , Menomonie WI 54751-1822. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Wisconsin Cvs Pharmacy, L.L.C. can be contacted via phone (715) 235-5349, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
433 Broadway St S Menomonie WI 54751-1822
Phone: (715) 235-5349
Fax: (715) 235-5379
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Wisconsin
Suppliers / Pharmacy 333600000X Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X Wisconsin

Profile Details

NPI number 1780090415
LBN Legal business name Wisconsin Cvs Pharmacy, L.L.C.
DBA Doing business as <Unavail>
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2014
Last updated Nov 19th, 2014 - about 12 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 1780090415 NPPES
Wisconsin Other 5134414 NCPDP
Wisconsin MEDICAID 1780090415 NCPDP

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