Young'S Drug Store

LBN: Badger Pharmacy Llc
Young'S Drug Store is an health care organization with primary practice located at 310 E Bridge St , Wausau WI 54403-3589. 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. Badger Pharmacy Llc can be contacted via phone (715) 845-5203, or through Young, Forrest via phone (715) 842-0370.

Contact Information

Primary practice address
310 E Bridge St Wausau WI 54403-3589
Phone: (715) 845-5203
Fax: (715) 843-0883
Website:
Map and Directions
Authorized official contact:
Name: Young, Forrest RPH
Phone: (715) 842-0370

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8995-42 Wisconsin

Profile Details

NPI number 1073628020
LBN Legal business name Badger Pharmacy Llc
DBA Doing business as Young'S Drug Store
Authorized official Young, Forrest RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 4th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073628020 NPPES
Wisconsin MEDICAID 1073628020
Wisconsin Other 5113600

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