Marshland Pharmacy
LBN: Marshland Pharmacies Inc
Marshland Pharmacy is an health care organization with primary practice located at 705 S University Ave , Beaver Dam WI 53916-3053. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Marshland Pharmacies Inc can be contacted via phone (920) 356-0040, or through Sutter, John via phone (920) 356-0040.
Contact Information
Primary practice address
705 S University Ave
Beaver Dam WI 53916-3053
Phone: (920) 356-0040
Fax: (920) 356-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8546042 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1124033758 |
|---|---|
| LBN Legal business name | Marshland Pharmacies Inc |
| DBA Doing business as | Marshland Pharmacy |
| Authorized official | Sutter, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Sep 15th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124033758 | NPPES |
| Other | 2110854 | PK | |
| MEDICAID | 33287900 | PK |
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