Lakeview Ltc Pharmacy

LBN: Lakeview Pharmacy In Racine Sc
Lakeview Ltc Pharmacy is an health care organization with primary practice located at 517 Wisconsin Ave , Racine WI 53403-1050. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lakeview Pharmacy In Racine Sc can be contacted via phone (262) 632-8215, or through Haapanen, Megan Renee via phone (262) 632-8215.

Contact Information

Primary practice address
517 Wisconsin Ave Racine WI 53403-1050
Fax: (262) 632-6777
Website:
Authorized official contact:
Name: Haapanen, Megan Renee PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1477224244
LBN Legal business name Lakeview Pharmacy In Racine Sc
DBA Doing business as Lakeview Ltc Pharmacy
Authorized official Haapanen, Megan Renee PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 2021
Last updated Jan 25th, 2022 - about 3 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 1477224244 NPPES
Wisconsin MEDICAID 100189877

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