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Contact Information

BADGER PHARMACY LLC
555 S 72ND AVE
WAUSAU, WI54401-9038
 Phone: 715-842-0791
 Fax: 715-845-2176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BADGER PHARMACY LLC

NPI # 1609981653
LBN Legal business name BADGER PHARMACY LLC
Authorized official FORREST YOUNG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 08/04/2014 - About 12 years ago
Identifiers
WI License # 9061-042
WI Medicaid 1609981653
Other 5128144 OTHER ID NUMBER-COMMERCIAL NUMBER
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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