Valucare Center Health Mart Pharmacy

LBN: Marinette Menominee Prescription Center Ltd
Valucare Center Health Mart Pharmacy is an health care organization with primary practice located at 1378 Main St , Marinette WI 54143-2425. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail 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
Phone: (715) 732-0717
Fax: (715) 732-0596
Website:
Map and Directions
Authorized official contact:
Name: Wilke, Stephen B.S.
Phone: (715) 732-0717

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9392-42 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1871546705
LBN Legal business name Marinette Menominee Prescription Center Ltd
DBA Doing business as Valucare Center Health Mart Pharmacy
Authorized official Wilke, Stephen B.S.
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jul 19th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871546705 NPPES
Michigan MEDICAID 1871546705
Michigan MEDICAID 9509274
Michigan Other 2112092
Michigan MEDICAID 33114900

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