Wall Street Hometown Pharmacy

LBN: Health Care Pharmacies Inc.
Wall Street Hometown Pharmacy is an health care organization with primary practice located at 123 East Wall St. , Eagle River WI 54521-0909. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Health Care Pharmacies Inc. can be contacted via phone (715) 479-4282, or through Thompson, Larry A via phone (715) 479-4282.

Contact Information

Primary practice address
123 East Wall St. Eagle River WI 54521-0909
Fax: (715) 479-7430
Website:
Authorized official contact:
Name: Thompson, Larry A RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8212-042 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1588761977
LBN Legal business name Health Care Pharmacies Inc.
DBA Doing business as Wall Street Hometown Pharmacy
Authorized official Thompson, Larry A RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 8th, 2019 - about 5 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 1588761977 NPPES
Wisconsin MEDICAID 33023200

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