Cedar Lake Pahrmacy-Dme

LBN: Cedar Lake Pharmacy
Cedar Lake Pahrmacy-Dme is an health care organization with primary practice located at 5595 County Road Z , West Bend WI 53095-9224. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Cedar Lake Pharmacy can be contacted via phone (262) 306-2117, or through Cherney, Chris via phone (262) 306-4212.

Contact Information

Primary practice address
5595 County Road Z West Bend WI 53095-9224
Phone: (262) 306-2117
Fax: (262) 306-2126
Website:
Map and Directions
Authorized official contact:
Name: Cherney, Chris
Phone: (262) 306-4212

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5115503 Wisconsin

Profile Details

NPI number 1881711935
LBN Legal business name Cedar Lake Pharmacy
DBA Doing business as Cedar Lake Pahrmacy-Dme
Authorized official Cherney, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881711935 NPPES
Wisconsin MEDICAID 20125800

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