Consumer Prescription Center
LBN: Kaukauna Prescription Center
Consumer Prescription Center is an health care organization with primary practice located at 200 E 2Nd St , Kaukauna WI 54130-2524. 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.
Kaukauna Prescription Center can be contacted via phone (920) 766-9200, or through Wallenfang, Jerome via phone (920) 766-9200.
Contact Information
Primary practice address
200 E 2Nd St
Kaukauna WI 54130-2524
Phone: (920) 766-9200
Fax: (920) 766-7998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 8079042 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1376615575 |
|---|---|
| LBN Legal business name | Kaukauna Prescription Center |
| DBA Doing business as | Consumer Prescription Center |
| Authorized official | Wallenfang, Jerome RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376615575 | NPPES |
| Other | 5112393 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 33127100 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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