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Contact Information

ASSISTED LIVING PHARMACY SERVICE, LLC
W133N5138 CAMPBELL DR
MENOMONEE FALLS, WI53051-7030
 Phone: 414-433-1700
 Fax: 414-433-1730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ASSISTED LIVING PHARMACY SERVICE, LLC

NPI # 1285625681
LBN Legal business name ASSISTED LIVING PHARMACY SERVICE, LLC
Authorized official DAVID HUIBREGTSE - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2005
Last updated 03/07/2023 - About 3 years ago
Identifiers
WI License # 8373042
WI Medicaid 33273200
Other 5127774 NABP
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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