Agnesian Pharmacy Waupun
LBN: Agnesian Healthcare Enterprises Llc
Agnesian Pharmacy Waupun is an health care organization with primary practice located at 904 W Main St , Waupun WI 53963-1201. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Agnesian Healthcare Enterprises Llc can be contacted via phone (920) 324-3010, or through Hyland, Nancy via phone (920) 926-8723.
Contact Information
Primary practice address
904 W Main St
Waupun WI 53963-1201
Phone: (920) 324-3010
Fax: (920) 324-3875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 905642 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1366417917 |
|---|---|
| LBN Legal business name | Agnesian Healthcare Enterprises Llc |
| DBA Doing business as | Agnesian Pharmacy Waupun |
| Authorized official | Hyland, Nancy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jun 20th, 2016 - about 8 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 | 1366417917 | NPPES |
| Wisconsin | MEDICAID | 33272300 | |
| Wisconsin | Other | 2113944 |
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