Ltc North Shore Pharmacy & Compounding Center

LBN: Cedarburg Prescription Center, Inc
Ltc North Shore Pharmacy & Compounding Center is an health care organization with primary practice located at N54 W6135 Mill Street Suite 300, Cedarburg WI 53012. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Cedarburg Prescription Center, Inc can be contacted via phone (262) 375-0010, or through Beyer, Kyle via phone (414) 232-4103.

Contact Information

Primary practice address
N54 W6135 Mill Street Suite 300 Cedarburg WI 53012
Phone: (262) 375-0010
Fax: (262) 375-0080
Website:
Map and Directions
Authorized official contact:
Name: Beyer, Kyle
Phone: (414) 232-4103

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1306448246
LBN Legal business name Cedarburg Prescription Center, Inc
DBA Doing business as Ltc North Shore Pharmacy & Compounding Center
Authorized official Beyer, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2020
Last updated May 9th, 2024 - about 6 months 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 1306448246 NPPES
Wisconsin MEDICAID 33233800

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