Mercy Walworth Pharmacy

LBN: Mercy Health System Corporation
Mercy Walworth Pharmacy is an health care organization with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. 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 (262) 245-2319, or through Janczak, Don via phone (608) 756-6664.

Contact Information

Primary practice address
N2950 State Road 67 Lake Geneva WI 53147-2655
Phone: (262) 245-2319
Fax: (262) 245-4995
Website:
Map and Directions
Authorized official contact:
Name: Janczak, Don PHARMD
Phone: (608) 756-6664

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8097 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1851327639
LBN Legal business name Mercy Health System Corporation
DBA Doing business as Mercy Walworth Pharmacy
Authorized official Janczak, Don PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 24th, 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 1851327639 NPPES
Other 5126570 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 33257100 OTHER ID NUMBER-COMMERCIAL NUMBER

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