Morton Pharmacy
LBN: Morton Drug Co Inc
Morton Pharmacy is an health care organization with primary practice located at N162 Eisenhower Dr Suite 100, Appleton WI 54915-6171. 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.
Morton Drug Co Inc can be contacted via phone (920) 731-4830, or through Blank, Jeffrey via phone (920) 727-8882.
Contact Information
Primary practice address
N162 Eisenhower Dr Suite 100
Appleton WI 54915-6171
Phone: (920) 731-4830
Fax: (920) 731-4709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8535 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1215969217 |
|---|---|
| LBN Legal business name | Morton Drug Co Inc |
| DBA Doing business as | Morton Pharmacy |
| Authorized official | Blank, Jeffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Sep 8th, 2010 - about 14 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 | 1215969217 | NPPES |
| Wisconsin | MEDICAID | 33286500 | |
| Wisconsin | Other | 5104803 |
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