Cass Street Pharmacy
LBN: Kcje Ford Inc
Cass Street Pharmacy is an health care organization with primary practice located at 528 Cass St , La Crosse WI 54601-4507. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Kcje Ford Inc can be contacted via phone (608) 784-9922, or through Ford, Kenneth via phone (608) 784-9922.
Contact Information
Primary practice address
528 Cass St
La Crosse WI 54601-4507
Phone: (608) 784-9922
Fax: (608) 784-2212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 8293-42 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1578587606 |
|---|---|
| LBN Legal business name | Kcje Ford Inc |
| DBA Doing business as | Cass Street Pharmacy |
| Authorized official | Ford, Kenneth RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 10th, 2016 - about 8 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 | 1578587606 | NPPES |
| Other | 2115062 | PK | |
| MEDICAID | 33165900 | PK | |
| MEDICAID | 395760800 | PK |
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