Peoples Drug

LBN: Carl Jeffrey Eliason
Peoples Drug is an health care organization with primary practice located at 1124 Belknap St , Superior WI 54880-2856. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Customized Equipment, Suppliers / Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Carl Jeffrey Eliason can be contacted via phone (715) 394-7765, or through Eliason, Carl Jeff via phone (715) 394-7765.

Contact Information

Primary practice address
1124 Belknap St Superior WI 54880-2856
Fax: (715) 394-7765
Website:
Authorized official contact:
Name: Eliason, Carl Jeff PHARMACIST

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10055040 Wisconsin
Suppliers / Customized Equipment 332BC3200X
Suppliers / Pharmacy 333600000X 7047042 Wisconsin

Profile Details

NPI number 1205969102
LBN Legal business name Carl Jeffrey Eliason
DBA Doing business as Peoples Drug
Authorized official Eliason, Carl Jeff PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Sep 5th, 2008 - about 16 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 1205969102 NPPES
Wisconsin MEDICAID 33075100

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