Community Care Inc Pharmacy
LBN: Community Care Inc
Community Care Inc Pharmacy is an health care organization with primary practice located at 1555 S Layton Blvd , Milwaukee WI 53215-1924. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty.
Community Care Inc can be contacted via phone (414) 902-2397, or through Munson, Kenneth via phone (414) 231-4000.
Contact Information
Primary practice address
1555 S Layton Blvd
Milwaukee WI 53215-1924
Phone: (414) 902-2397
Fax: (414) 649-9149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | 8638-42 | Wisconsin |
Profile Details
| NPI number | 1932213923 |
|---|---|
| LBN Legal business name | Community Care Inc |
| DBA Doing business as | Community Care Inc Pharmacy |
| Authorized official | Munson, Kenneth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Oct 24th, 2019 - about 5 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 | 1932213923 | NPPES |
| Wisconsin | MEDICAID | 100036712 | |
| Wisconsin | Other | 2110889 |
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