<Unavail>
LBN: Wisconsin Cvs Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 1130 W Sunset Dr , Waukesha WI 53189-8422. 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, Llc can be contacted via phone (262) 446-5169, or through Colbert, Susan F. via phone (401) 770-2751.
Contact Information
Primary practice address
1130 W Sunset Dr
Waukesha WI 53189-8422
Phone: (262) 446-5169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1235362328 |
|---|---|
| LBN Legal business name | Wisconsin Cvs Pharmacy, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Colbert, Susan F. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2009 |
| Last updated | Mar 10th, 2011 - 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 | 1235362328 | NPPES |
| Wisconsin | MEDICAID | 1235362328 | |
| Wisconsin | Other | 5131723 |
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