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Contact Information

MEDICATE PHARMACY INC
2741 W LAYTON AVE STE 102
MILWAUKEE, WI53221-2600
 Phone: 414-539-3912
 Fax: 414-539-3913
 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 MEDICATE PHARMACY INC

NPI # 1558777938
LBN Legal business name MEDICATE PHARMACY INC
Authorized official VIBHA SURANI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2014
Last updated 11/29/2016 - About 10 years ago
Identifiers
WI License # 9272-42
WI Medicaid 100038961
Other 2146746 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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