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Contact Information

WAUSAUKEE PHARMACY INC
703 MAIN ST
STE 2
WAUSAUKEE, WI54177
 Phone: 715-856-5455
 Fax: 715-856-5451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WAUSAUKEE PHARMACY INC

NPI # 1790013076
LBN Legal business name WAUSAUKEE PHARMACY INC
Authorized official JEFFREY HINES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2009
Last updated 11/25/2009 - About 17 years ago
Identifiers
WI License # 8961-042
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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