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Contact Information

HEIKE PHARMACY INC
213 W MAIN ST
DURAND, WI54736-1146
 Phone: 715-672-5202
 Fax: 715-672-5205
 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
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HEIKE PHARMACY INC

NPI # 1396731592
LBN Legal business name HEIKE PHARMACY INC
Authorized official LARA JOHNSON - (MNG SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2005
Last updated 07/18/2023 - About 3 years ago
Identifiers
WI License # 614442
WI Medicaid 33099900
Other 2111977 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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