Lakeview Ltc Pharmacy

LBN: Lakeview Pharmacy Of Racine Inc
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 / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lakeview Pharmacy Of Racine Inc can be contacted via phone (262) 632-8215, or through Ciaramita, Pete via phone (262) 632-8215.

Contact Information

Primary practice address
517 Wisconsin Ave Racine WI 53403-1050
Phone: (262) 632-8215
Fax: (262) 632-6777
Website:
Map and Directions
Authorized official contact:
Name: Ciaramita, Pete RPH
Phone: (262) 632-8215

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 7186-42 Wisconsin

Profile Details

NPI number 1063416097
LBN Legal business name Lakeview Pharmacy Of Racine Inc
DBA Doing business as Lakeview Ltc Pharmacy
Authorized official Ciaramita, Pete RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063416097 NPPES
Other 2115320 PK
MEDICAID 100032237 PK

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