Luther Haven Pharmacy
LBN: Badger Acquisition Of Wisconsin, Llc
Luther Haven Pharmacy is an health care organization with primary practice located at 8949 N 97Th St , Milwaukee WI 53224-1695. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Badger Acquisition Of Wisconsin, Llc can be contacted via phone (414) 354-8554, or through Kukulski, Jonathan D via phone (513) 719-2600.
Contact Information
Primary practice address
8949 N 97Th St
Milwaukee WI 53224-1695
Phone: (414) 354-8554
Fax: (414) 354-8521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 032006914 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 032006914 | Wisconsin |
Profile Details
| NPI number | 1568568913 |
|---|---|
| LBN Legal business name | Badger Acquisition Of Wisconsin, Llc |
| DBA Doing business as | Luther Haven Pharmacy |
| Authorized official | Kukulski, Jonathan D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Sep 15th, 2014 - about 10 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 | 1568568913 | NPPES |
| Wisconsin | Other | 5119145 | NCPDP |
| Wisconsin | MEDICAID | 33232400 | NCPDP |
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