Ballweg Family Pharmacy Inc

LBN: Ballweg Family Pharmacy Inc
Ballweg Family Pharmacy Inc is an health care organization with primary practice located at 1200 Prairie St , Prairie Du Sac WI 53578-2041. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Ballweg Family Pharmacy Inc can be contacted via phone (608) 643-6500, or through Ballweg, Dennis John via phone (608) 643-6500.

Contact Information

Primary practice address
1200 Prairie St Prairie Du Sac WI 53578-2041
Fax:
Website:
Authorized official contact:
Name: Ballweg, Dennis John

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1104532654
LBN Legal business name Ballweg Family Pharmacy Inc
DBA Doing business as
Authorized official Ballweg, Dennis John
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 27th, 2023
Last updated Oct 6th, 2023 - about 2 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 1104532654 NPPES
Wisconsin MEDICAID 33282600

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