Ltc Rx

LBN: Ltc Rx Inc
Ltc Rx is an health care organization with primary practice located at 13 E Spruce St Ste 102 , Chippewa Falls WI 54729-2579. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ltc Rx Inc can be contacted via phone (715) 861-4422, or through Winger, Paul via phone (715) 723-9192.

Contact Information

Primary practice address
13 E Spruce St Ste 102 Chippewa Falls WI 54729-2579
Phone: (715) 861-4422
Fax: (715) 861-5141
Website:
Map and Directions
Authorized official contact:
Name: Winger, Paul
Phone: (715) 723-9192

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X 9055-042 Wisconsin

Profile Details

NPI number 1396049706
LBN Legal business name Ltc Rx Inc
DBA Doing business as Ltc Rx
Authorized official Winger, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2010
Last updated Feb 21st, 2017 - 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 1396049706 NPPES
Other 2129386 PK
MEDICAID 100013800 PK

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