ATHLETE PHARMACIST LLC; NPI #1649520008

Contact Information

ATHLETE PHARMACIST LLC

211 NAUTILUS DR APT 8
MADISON, WI 53705-4358

Phone: 414-207-0309
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Public Health, State or Local	261QP0905X

Indicates primary specialty

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NPI Profile & details for ATHLETE PHARMACIST LLC

NPI #	`1649520008`
LBN Legal business name	ATHLETE PHARMACIST LLC
Authorized official	MARK LORSON - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/13/2012
Last updated	09/13/2012 - About 14 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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