Uvanta Pharmacy Of Lacrosse

LBN: H1 Lacrosse Llc
Uvanta Pharmacy Of Lacrosse is an health care organization with primary practice located at 2840 21St Pl S , La Crosse WI 54601-7302. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. H1 Lacrosse Llc can be contacted via phone (608) 784-6500, or through Vanstraten, Jeff via phone (262) 347-9405.

Contact Information

Primary practice address
2840 21St Pl S La Crosse WI 54601-7302
Phone: (608) 784-6500
Fax: (608) 784-6504
Website:
Map and Directions
Authorized official contact:
Name: Vanstraten, Jeff
Phone: (262) 347-9405

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 8750042 Wisconsin

Profile Details

NPI number 1417156209
LBN Legal business name H1 Lacrosse Llc
DBA Doing business as Uvanta Pharmacy Of Lacrosse
Authorized official Vanstraten, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Aug 9th, 2011 - about 13 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 1417156209 NPPES
Other 5130024 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 33299800 NCPDP PROVIDER IDENTIFICATION NUMBER

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