Agnesian Prescription Center Health Plaza
LBN: Agnesian Healthcare Enterprises Llc
Agnesian Prescription Center Health Plaza is an health care organization with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Agnesian Healthcare Enterprises Llc can be contacted via phone (920) 926-5455, or through Hyland, Nancy via phone (920) 926-8723.
Contact Information
Primary practice address
421 Camelot Dr
Fond Du Lac WI 54935-8335
Phone: (920) 926-5455
Fax: (920) 926-8838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8107-42 | Wisconsin |
Profile Details
| NPI number | 1235519455 |
|---|---|
| LBN Legal business name | Agnesian Healthcare Enterprises Llc |
| DBA Doing business as | Agnesian Prescription Center Health Plaza |
| Authorized official | Hyland, Nancy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2015 |
| Last updated | Aug 18th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235519455 | NPPES |
| Other | 2152190 | PK |
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