Clinic Pharmacy Of Black River Falls

LBN: Black River Falls Clinic Pharmacy, Inc.
Clinic Pharmacy Of Black River Falls is an health care organization with primary practice located at 610 W Adams St , Black River Falls WI 54615-9010. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Black River Falls Clinic Pharmacy, Inc. can be contacted via phone (715) 284-4089, or through Hagenbrock, Barbara J via phone (715) 284-4089.

Contact Information

Primary practice address
610 W Adams St Black River Falls WI 54615-9010
Phone: (715) 284-4089
Fax: (715) 284-1606
Website:
Map and Directions
Authorized official contact:
Name: Hagenbrock, Barbara J RPH
Phone: (715) 284-4089

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6945 Wisconsin

Profile Details

NPI number 1346227642
LBN Legal business name Black River Falls Clinic Pharmacy, Inc.
DBA Doing business as Clinic Pharmacy Of Black River Falls
Authorized official Hagenbrock, Barbara J RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated Apr 7th, 2015 - about 10 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 1346227642 NPPES
Wisconsin MEDICAID 33160900

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