Reedsburg Family Prescription Center

LBN: Corcoran Healthcare Enterprises, Inc
Reedsburg Family Prescription Center is an health care organization with primary practice located at 115 2Nd St , Reedsburg WI 53959-1602. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Corcoran Healthcare Enterprises, Inc can be contacted via phone (608) 524-3215, or through Kissack, Cindy L. via phone (608) 524-3215.

Contact Information

Primary practice address
115 2Nd St Reedsburg WI 53959-1602
Fax: (608) 524-8410
Website:
Authorized official contact:
Name: Kissack, Cindy L. RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 11077 Wisconsin

Profile Details

NPI number 1174689616
LBN Legal business name Corcoran Healthcare Enterprises, Inc
DBA Doing business as Reedsburg Family Prescription Center
Authorized official Kissack, Cindy L. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
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 1174689616 NPPES
Wisconsin MEDICAID 33168300

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