Manor Pharmacy

LBN: Methodist Manor Health Center, Inc.
Manor Pharmacy is an health care organization with primary practice located at 8615 W Beloit Rd , West Allis WI 53227-3711. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Methodist Manor Health Center, Inc. can be contacted via phone (414) 607-2165, or through Enlund, James via phone (414) 607-4100.

Contact Information

Primary practice address
8615 W Beloit Rd West Allis WI 53227-3711
Phone: (414) 607-2165
Fax: (414) 607-4507
Website:
Map and Directions
Authorized official contact:
Name: Enlund, James
Phone: (414) 607-4100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 6309 Wisconsin

Profile Details

NPI number 1073580403
LBN Legal business name Methodist Manor Health Center, Inc.
DBA Doing business as Manor Pharmacy
Authorized official Enlund, James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 7th, 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 1073580403 NPPES
Wisconsin Other 5116187 NCPDP NUMBER
Wisconsin Other 6309 NCPDP NUMBER
Wisconsin MEDICAID 33028500 NCPDP NUMBER

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