COMMUNITY HEALTH PHARMACY LLC; NPI #1073839114

Contact Information

COMMUNITY HEALTH PHARMACY LLC

880 N. MILL ST.
SUITE 101
WEST SALEM, WI 54669

Phone: 608-786-2520
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for COMMUNITY HEALTH PHARMACY LLC

NPI # 1073839114

LBN Legal business name COMMUNITY HEALTH PHARMACY LLC

Authorized official THOMAS BRIESKE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/14/2010

Last updated 08/09/2016 - About 10 years ago

Identifiers

WI	License #	9003-42
WI	Medicaid	1073839114

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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