National Provider Identifier Database

KCJE FORD INC
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

KCJE FORD INC
528 CASS ST
LA CROSSE, WI54601-4507
Phone: 608-784-9922
Fax: 608-784-2212
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for KCJE FORD INC

NPI Number 1578587606
Legal business name
LBN
KCJE FORD INC
Authorized official KENNETH FORD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/26/2006
Last updated 05/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 8293-42
  • MN Medicaid: 395760800
  • WI Medicaid: 33165900
  • Other: 2115062 PK

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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