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A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1568568913 |
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| LBN Legal business name | BADGER ACQUISITION OF WISCONSIN, LLC | ||||||||||||
| Authorized official | JONATHAN KUKULSKI - (CORPORATE SECRETARY) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 09/15/2006 | ||||||||||||
| Last updated | 09/15/2014 - About 12 years ago | ||||||||||||
| Identifiers |
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BADGER ACQUISITION OF WISCONSIN, LLC