Mequon Family Pharmacy Inc

LBN: Mequon Family Pharmacy Inc
Mequon Family Pharmacy Inc is an health care organization with primary practice located at 1424 W Mequon Rd , Mequon WI 53092-3226. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Mequon Family Pharmacy Inc can be contacted via phone (262) 581-0411, or through Mugurdumova, Laura via phone (262) 581-0411.

Contact Information

Primary practice address
1424 W Mequon Rd Mequon WI 53092-3226
Phone: (262) 581-0411
Fax: (262) 923-1002
Website:
Map and Directions
Authorized official contact:
Name: Mugurdumova, Laura
Phone: (262) 581-0411

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538609292
LBN Legal business name Mequon Family Pharmacy Inc
DBA Doing business as
Authorized official Mugurdumova, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2017
Last updated Apr 11th, 2017 - about 8 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 1538609292 NPPES
Other 2168769 PK

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