Fall Creek Pharmacy

LBN: Fall Creek Pharmacy, Inc.
Fall Creek Pharmacy is an health care organization with primary practice located at 119 E Lincoln Ave , Fall Creek WI 54742-9526. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Fall Creek Pharmacy, Inc. can be contacted via phone (715) 877-2994, or through Stoner, Rebecca J via phone (715) 877-2994.

Contact Information

Primary practice address
119 E Lincoln Ave Fall Creek WI 54742-9526
Phone: (715) 877-2994
Fax: (715) 877-3248
Website:
Map and Directions
Authorized official contact:
Name: Stoner, Rebecca J RPH
Phone: (715) 877-2994

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8903042 Wisconsin

Profile Details

NPI number 1144384629
LBN Legal business name Fall Creek Pharmacy, Inc.
DBA Doing business as Fall Creek Pharmacy
Authorized official Stoner, Rebecca J RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Aug 6th, 2010 - about 14 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 1144384629 NPPES
Wisconsin MEDICAID 1144384629

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