National Provider Identifier Database

COMMUNITY PHARMACY CO OPERATIVE
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

COMMUNITY PHARMACY CO-OPERATIVE
130 FAIROAKS AVE
MADISON, WI53704
Phone: 608-251-4454
Fax: 608-251-3853
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for COMMUNITY PHARMACY CO-OPERATIVE

NPI Number 1699793380
Legal business name
LBN
COMMUNITY PHARMACY CO-OPERATIVE
Authorized official AIMEE SPEERS - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart No
Enumeration date 07/18/2006
Last updated 08/24/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 6464
  • WI Medicaid: 1699793380
  • WI Medicaid: 33134900
  • Other: 480001188 MEDCO PAID

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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