Kealey Pharmacy And Homecare Inc
LBN: Kealey Pharmacy & Home Care Center
Kealey Pharmacy And Homecare Inc is an health care organization with primary practice located at 21 S Jackson St , Janesville WI 53548-3859. 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 / Community/Retail Pharmacy is the primary health care specialty.
Kealey Pharmacy & Home Care Center can be contacted via phone (608) 752-7869, or through Johnson, Mark via phone (608) 752-7869.
Contact Information
Primary practice address
21 S Jackson St
Janesville WI 53548-3859
Phone: (608) 752-7869
Fax: (608) 752-6806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7301-042 | Wisconsin |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1033243845 |
|---|---|
| LBN Legal business name | Kealey Pharmacy & Home Care Center |
| DBA Doing business as | Kealey Pharmacy And Homecare Inc |
| Authorized official | Johnson, Mark RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jun 14th, 2013 - about 11 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 | 1033243845 | NPPES |
| Other | 2111847 | PK | |
| MEDICAID | 33117200 | PK |
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