The Apothecary

LBN: Island City Apothecary Ltd
The Apothecary is an health care organization with primary practice located at 1470 Webb St , Cumberland WI 54829-9187. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Island City Apothecary Ltd can be contacted via phone (715) 822-2424, or through Goldsmith, Thomas via phone (715) 822-2424.

Contact Information

Primary practice address
1470 Webb St Cumberland WI 54829-9187
Phone: (715) 822-2424
Fax: (715) 822-5470
Website:
Map and Directions
Authorized official contact:
Name: Goldsmith, Thomas RPH
Phone: (715) 822-2424

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9490-42 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1851390496
LBN Legal business name Island City Apothecary Ltd
DBA Doing business as The Apothecary
Authorized official Goldsmith, Thomas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 19th, 2018 - about 7 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 1851390496 NPPES
Other 2112695 PK
MEDICAID 1851390496 PK

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