Clinic Pharmacy Gifts & More

LBN: Clinic Pharmacy Of West Salem Inc
Clinic Pharmacy Gifts & More is an health care organization with primary practice located at 126 Leonard St S , West Salem WI 54669-1621. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Clinic Pharmacy Of West Salem Inc can be contacted via phone (608) 786-2828, or through Christiansen, George F via phone (608) 786-2828.

Contact Information

Primary practice address
126 Leonard St S West Salem WI 54669-1621
Fax: (608) 786-2845
Website:
Authorized official contact:
Name: Christiansen, George F RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9040-42 Wisconsin

Profile Details

NPI number 1093804122
LBN Legal business name Clinic Pharmacy Of West Salem Inc
DBA Doing business as Clinic Pharmacy Gifts & More
Authorized official Christiansen, George F RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 25th, 2012 - about 12 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 1093804122 NPPES
Wisconsin MEDICAID 33189400

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