Osco Drug

LBN: Jewel Food Stores Inc
Osco Drug is an health care organization with primary practice located at 5740 Washington Ave , Racine WI 53406-4018. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Jewel Food Stores Inc can be contacted via phone (262) 634-0105, or through Torres, Lorenzo via phone (847) 916-4463.

Contact Information

Primary practice address
5740 Washington Ave Racine WI 53406-4018
Phone: (262) 634-0105
Fax: (262) 634-0142
Website:
Map and Directions
Authorized official contact:
Name: Torres, Lorenzo
Phone: (847) 916-4463

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8239 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285680793
LBN Legal business name Jewel Food Stores Inc
DBA Doing business as Osco Drug
Authorized official Torres, Lorenzo
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 22nd, 2020 - 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 1285680793 NPPES
Other 5127041 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33264300 OTHER ID NUMBER-COMMERCIAL NUMBER

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