Wood River Pharmacy Long Term Care

LBN: Bellicose International Inc.
Wood River Pharmacy Long Term Care is an health care organization with primary practice located at 122 W Madison Ave , Grantsburg WI 54840-7022. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Bellicose International Inc. can be contacted via phone (715) 463-2525, or through Witzany, Christopher John via phone (715) 463-2525.

Contact Information

Primary practice address
122 W Madison Ave Grantsburg WI 54840-7022
Phone: (715) 463-2525
Fax: (715) 463-5343
Website:
Map and Directions
Authorized official contact:
Name: Witzany, Christopher John R.PH.
Phone: (715) 463-2525

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1528625985
LBN Legal business name Bellicose International Inc.
DBA Doing business as Wood River Pharmacy Long Term Care
Authorized official Witzany, Christopher John R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2019
Last updated Sep 25th, 2023 - about last year

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 1528625985 NPPES
Wisconsin MEDICAID 33154200

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