Lakeview Pharmacy Of Racine Inc
LBN: Lakeview Pharmacy Of Racine Inc
Lakeview Pharmacy Of Racine Inc is an health care organization with primary practice located at 516 Monument Sq , Racine WI 53403-1033. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lakeview Pharmacy Of Racine Inc can be contacted via phone (262) 632-0520, or through Robotka, Cheryl A via phone (262) 632-1830.
Contact Information
Primary practice address
516 Monument Sq
Racine WI 53403-1033
Phone: (262) 632-0520
Fax: (262) 632-6777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7185-42 | Wisconsin |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1154325199 |
|---|---|
| LBN Legal business name | Lakeview Pharmacy Of Racine Inc |
| DBA Doing business as | Lakeview Pharmacy Of Racine Inc |
| Authorized official | Robotka, Cheryl A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Aug 23rd, 2019 - about 6 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 | 1154325199 | NPPES |
| Other | 2114710 | PK | |
| MEDICAID | 33069400 | PK |
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