House Of Wellness Pharmacy

LBN: Ho Chunk Nation
House Of Wellness Pharmacy is an health care organization with primary practice located at S2845 White Eagle Rd , Baraboo WI 53913-9064. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Ho Chunk Nation can be contacted via phone (608) 355-5177, or through Apland, Wally L via phone (715) 284-9851.

Contact Information

Primary practice address
S2845 White Eagle Rd Baraboo WI 53913-9064
Phone: (608) 355-5177
Fax: (608) 356-1233
Website:
Map and Directions
Authorized official contact:
Name: Apland, Wally L
Phone: (715) 284-9851

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 8332-42 Wisconsin
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1972725240
LBN Legal business name Ho Chunk Nation
DBA Doing business as House Of Wellness Pharmacy
Authorized official Apland, Wally L
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Apr 6th, 2023 - about last year

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 1972725240 NPPES
Other 2109072 PK
MEDICAID 33246800 PK

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