National Provider Identifier Database

BENEVOLENT CORPORATION CEDAR COMMUNITY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

BENEVOLENT CORPORATION CEDAR COMMUNITY
5595 COUNTY ROAD Z
WEST BEND, WI53095-9224
Phone: 262-306-2140
Fax: 262-306-2141
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for BENEVOLENT CORPORATION CEDAR COMMUNITY

NPI Number 1154321602
Legal business name
LBN
BENEVOLENT CORPORATION CEDAR COMMUNITY
Authorized official JOSEPH PICHLER - (VICE PRESIDENT OF FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 07/27/2005
Last updated 12/30/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 5115503
  • WI Medicaid: 33027100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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