Health Mart Manitowoc Pharmacies

LBN: Manitowoc Pharmacies Inc
Health Mart Manitowoc Pharmacies is an health care organization with primary practice located at 919 S 8Th St , Manitowoc WI 54220-4504. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Manitowoc Pharmacies Inc can be contacted via phone (920) 684-6789, or through Resch, Shane via phone (715) 253-2164.

Contact Information

Primary practice address
919 S 8Th St Manitowoc WI 54220-4504
Phone: (920) 684-6789
Fax: (920) 684-7041
Website:
Map and Directions
Authorized official contact:
Name: Resch, Shane
Phone: (715) 253-2164

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4907-42 Wisconsin

Profile Details

NPI number 1356352850
LBN Legal business name Manitowoc Pharmacies Inc
DBA Doing business as Health Mart Manitowoc Pharmacies
Authorized official Resch, Shane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 20th, 2023 - about 2 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 1356352850 NPPES
Wisconsin MEDICAID 33097000
Wisconsin Other 2134084

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