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Contact Information

LAKEVIEW PHARMACY OF RACINE INC
516 MONUMENT SQ
RACINE, WI53403-1033
 Phone: 262-632-0520
 Fax: 262-632-6777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LAKEVIEW PHARMACY OF RACINE INC

NPI # 1154325199
LBN Legal business name LAKEVIEW PHARMACY OF RACINE INC
Authorized official CHERYL ROBOTKA - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2005
Last updated 08/23/2019 - About 7 years ago
Identifiers
WI License # 7185-42
WI Medicaid 33069400
Other 2114710 PK
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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