Main Street Pharmacy Inc

LBN: Main Street Pharmacy Inc
Main Street Pharmacy Inc is an health care organization with primary practice located at 140 E Main St , Reedsburg WI 53959-1936. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Main Street Pharmacy Inc can be contacted via phone (608) 768-6678, or through Kissack, Cindy via phone (608) 524-1616.

Contact Information

Primary practice address
140 E Main St Reedsburg WI 53959-1936
Fax: (608) 768-6681
Website:
Authorized official contact:
Name: Kissack, Cindy RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8793042 Wisconsin

Profile Details

NPI number 1013192715
LBN Legal business name Main Street Pharmacy Inc
DBA Doing business as
Authorized official Kissack, Cindy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Jan 2nd, 2008 - about 16 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 1013192715 NPPES
Other 5130389 OTHER ID NUMBER

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