Valucare Long Term Care

LBN: Marinette-Menominee Prescription Center Ltd
Valucare Long Term Care is an health care organization with primary practice located at 1378 Main St , Marinette WI 54143-2425. 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. Marinette-Menominee Prescription Center Ltd can be contacted via phone (715) 732-0717, or through Wilke, Stephen via phone (715) 732-0717.

Contact Information

Primary practice address
1378 Main St Marinette WI 54143-2425
Fax: (715) 732-0596
Website:
Authorized official contact:
Name: Wilke, Stephen B.S. PHARMACY

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 9392-42 Wisconsin

Profile Details

NPI number 1093216285
LBN Legal business name Marinette-Menominee Prescription Center Ltd
DBA Doing business as Valucare Long Term Care
Authorized official Wilke, Stephen B.S. PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2018
Last updated Feb 25th, 2020 - about 4 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 1093216285 NPPES
Other 2176150 PK
MEDICAID 33114900 PK

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