Gwidt Pharmacy Inc
LBN: Gwidt Pharmacy Inc
Gwidt Pharmacy Inc is an health care organization with primary practice located at 203 E Westgor Ave , Wittenberg WI 54499-9174. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gwidt Pharmacy Inc can be contacted via phone (715) 253-2164, or through Resch, Shane via phone (715) 253-2164.
Contact Information
Primary practice address
203 E Westgor Ave
Wittenberg WI 54499-9174
Phone: (715) 253-2164
Fax: (715) 253-3030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8440042 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1407861008 |
|---|---|
| LBN Legal business name | Gwidt Pharmacy Inc |
| DBA Doing business as | Gwidt Pharmacy Inc |
| Authorized official | Resch, Shane PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Apr 11th, 2016 - about 8 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 | 1407861008 | NPPES |
| Wisconsin | MEDICAID | 33102800 | |
| Wisconsin | Other | 2113260 |
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