Mercy East Pharmacy

LBN: Mercy Health System Corporation
Mercy East Pharmacy is an health care organization with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. 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. Mercy Health System Corporation can be contacted via phone (608) 754-5194, or through Janczak, Don via phone (608) 756-6664.

Contact Information

Primary practice address
3524 E Milwaukee St Janesville WI 53546-1626
Fax: (608) 756-8496
Website:
Authorized official contact:
Name: Janczak, Don

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7648 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467498857
LBN Legal business name Mercy Health System Corporation
DBA Doing business as Mercy East Pharmacy
Authorized official Janczak, Don
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Sep 27th, 2023 - about last year

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 1467498857 NPPES
Other 5101302 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33220100 OTHER ID NUMBER-COMMERCIAL NUMBER

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