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Contact Information

WHITEFISH BAY PRESCRIPTION CENTER LTD
5320 N PORT WASHINGTON RD
GLENDALE, WI53217
 Phone: 414-963-0811
 Fax: 414-963-0830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for WHITEFISH BAY PRESCRIPTION CENTER LTD

NPI # 1790793446
LBN Legal business name WHITEFISH BAY PRESCRIPTION CENTER LTD
Authorized official JOHN WACLAWSKI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2006
Last updated 10/24/2008 - About 18 years ago
Identifiers
WI License # 7296
WI License # 8527
WI Medicaid 33002200
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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