Blair Pharmacy

LBN: Hogden Enterprises Inc
Blair Pharmacy is an health care organization with primary practice located at 125 W Broadway St , Blair WI 54616-9367. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Hogden Enterprises Inc can be contacted via phone (608) 989-2919, or through Molstad, Daniel Ben via phone (608) 989-2919.

Contact Information

Primary practice address
125 W Broadway St Blair WI 54616-9367
Fax: (608) 989-2837
Website:
Authorized official contact:
Name: Molstad, Daniel Ben

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 7366042 Wisconsin

Profile Details

NPI number 1164925632
LBN Legal business name Hogden Enterprises Inc
DBA Doing business as Blair Pharmacy
Authorized official Molstad, Daniel Ben
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2018
Last updated Jun 16th, 2018 - about 6 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 1164925632 NPPES
Wisconsin MEDICAID 33196800

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