Medpak Pharmacy
LBN: Kcje Ford Inc
Medpak Pharmacy is an health care organization with primary practice located at 505 King St Ste 154 , La Crosse WI 54601-4062. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Kcje Ford Inc can be contacted via phone (608) 782-4448, or through Basseuner, Kristy via phone (608) 784-9922.
Contact Information
Primary practice address
505 King St Ste 154
La Crosse WI 54601-4062
Phone: (608) 782-4448
Fax: (608) 782-4449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 9122-042 | Wisconsin |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1679801807 |
---|---|
LBN Legal business name | Kcje Ford Inc |
DBA Doing business as | Medpak Pharmacy |
Authorized official | Basseuner, Kristy |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 30th, 2009 |
Last updated | Aug 11th, 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 | 1679801807 | NPPES |
Wisconsin | MEDICAID | 100007292 | |
Wisconsin | Other | 2122806 |
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