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Contact Information

LTC RX INC
13 E SPRUCE ST STE 102
CHIPPEWA FALLS, WI54729-2579
 Phone: 715-861-4422
 Fax: 715-861-5141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 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 LTC RX INC

NPI # 1396049706
LBN Legal business name LTC RX INC
Authorized official PAUL WINGER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2010
Last updated 02/21/2017 - About 9 years ago
Identifiers
WI License # 9055-042
WI Medicaid 100013800
Other 2129386 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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