Dba Swan Serv - U Pharmacy
LBN: Hayward Pharmacy Inc.
Dba Swan Serv - U Pharmacy is an health care organization with primary practice located at 9130 W North Ave , Wauwatosa WI 53226-2623. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hayward Pharmacy Inc. can be contacted via phone (414) 258-9550, or through Walsh, Timothy James via phone (414) 640-7129.
Contact Information
Primary practice address
9130 W North Ave
Wauwatosa WI 53226-2623
Phone: (414) 258-9550
Fax: (414) 258-1088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5343 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5343-42 | Wisconsin |
Profile Details
| NPI number | 1962564583 |
|---|---|
| LBN Legal business name | Hayward Pharmacy Inc. |
| DBA Doing business as | Dba Swan Serv - U Pharmacy |
| Authorized official | Walsh, Timothy James RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Sep 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962564583 | NPPES |
| Wisconsin | MEDICAID | 33139800 | |
| Wisconsin | Other | 5103205 |
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