Bohlman Drug Store, Inc

LBN: Boscobel Pharmacy, Inc
Bohlman Drug Store, Inc is an health care organization with primary practice located at 1028 Wisconsin Ave , Boscobel WI 53805-1532. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Boscobel Pharmacy, Inc can be contacted via phone (608) 375-4466, or through Farrell, Michelle E. via phone (608) 375-4466.

Contact Information

Primary practice address
1028 Wisconsin Ave Boscobel WI 53805-1532
Phone: (608) 375-4466
Fax: (608) 375-2383
Website:
Map and Directions
Authorized official contact:
Name: Farrell, Michelle E. PHARMD
Phone: (608) 375-4466

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 6474-042 Wisconsin
Suppliers / Oxygen Equipment & Supplies 332BX2000X 6474-042 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X 6474-042 Wisconsin
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 6474-042 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1245249614
LBN Legal business name Boscobel Pharmacy, Inc
DBA Doing business as Bohlman Drug Store, Inc
Authorized official Farrell, Michelle E. PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 17th, 2020 - about 5 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 1245249614 NPPES
Wisconsin Other 5105312 NCPDP
Wisconsin MEDICAID 33051200 NCPDP

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