West Bend Pharmacy

LBN: Berry Pharmacy And Wellness Services Llc
West Bend Pharmacy is an health care organization with primary practice located at 1709 S 18Th Ave , West Bend WI 53095-7808. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Berry Pharmacy And Wellness Services Llc can be contacted via phone (262) 338-6444, or through Berry, Douglas via phone (262) 338-6444.

Contact Information

Primary practice address
1709 S 18Th Ave West Bend WI 53095-7808
Phone: (262) 338-6444
Fax: (262) 338-3635
Website:
Map and Directions
Authorized official contact:
Name: Berry, Douglas RPH
Phone: (262) 338-6444

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 879242 Wisconsin

Profile Details

NPI number 1871683045
LBN Legal business name Berry Pharmacy And Wellness Services Llc
DBA Doing business as West Bend Pharmacy
Authorized official Berry, Douglas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 23rd, 2010 - about 15 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 1871683045 NPPES
Other 5110515 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 36222100 NCPDP PROVIDER IDENTIFICATION NUMBER

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