Community Pharmacy Co-Operative

LBN: Community Pharmacy Co-Operative
Community Pharmacy Co-Operative is an health care organization with primary practice located at 130 Fairoaks Ave , Madison WI 53704. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Community Pharmacy Co-Operative can be contacted via phone (608) 251-4454, or through Speers, Aimee via phone (608) 251-4454.

Contact Information

Primary practice address
130 Fairoaks Ave Madison WI 53704
Phone: (608) 251-4454
Fax: (608) 251-3853
Website:
Map and Directions
Authorized official contact:
Name: Speers, Aimee PHARM D
Phone: (608) 251-4454

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 6464 Wisconsin

Profile Details

NPI number 1699793380
LBN Legal business name Community Pharmacy Co-Operative
DBA Doing business as
Authorized official Speers, Aimee PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 24th, 2021 - 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 1699793380 NPPES
Wisconsin MEDICAID 1699793380
Wisconsin Other 480001188
Wisconsin MEDICAID 33134900

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