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Contact Information

JAT PHARMACY, LLC
805 BURTON BOULEVARD
SUITE A
DEFOREST, WI53532
 Phone: 877-490-3577
 Fax: 877-490-3576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JAT PHARMACY, LLC

NPI Number 1083935233
LBN Legal business name JAT PHARMACY, LLC
Authorized official WILLIAM BARTKOWIAK - (DIRECTOR OF PHARMACY/PHARMACIST IN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2010
Last updated 10/06/2023 - About 3 years ago
Identifiers
WI License # 9015-42
Other 2125332 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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