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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245249614 | NPPES |
Wisconsin | Other | 5105312 | NCPDP |
Wisconsin | MEDICAID | 33051200 | NCPDP |
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