Young'S Drug Store

LBN: Badger Pharmacy Llc
Young'S Drug Store is an health care organization with primary practice located at 2106 Grand Ave , Wausau WI 54403-6912. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Badger Pharmacy Llc can be contacted via phone (715) 845-3713, or through Young, Forrest via phone (715) 842-0370.

Contact Information

Primary practice address
2106 Grand Ave Wausau WI 54403-6912
Phone: (715) 845-3713
Fax: (715) 845-7957
Website:
Map and Directions
Authorized official contact:
Name: Young, Forrest
Phone: (715) 842-0370

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8993-042 Wisconsin

Profile Details

NPI number 1124358940
LBN Legal business name Badger Pharmacy Llc
DBA Doing business as Young'S Drug Store
Authorized official Young, Forrest
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2009
Last updated Aug 5th, 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 1124358940 NPPES
Wisconsin MEDICAID 1124358940
Wisconsin Other 5132131

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